Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.75 / $6,541.00 / $13,413.92	Facility		$904.75	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $654.46 / $654.46 / $678.57	Facility	54	$654.46	$654.46	$678.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $512.83 / $1,534.51	Professional		$257.11	$512.83	$1,534.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.12 / $971.96 / $1,403.82	Professional		$736.12	$971.96	$1,403.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.83 / $1,479.98 / $2,148.31	Facility		$296.83	$1,479.98	$2,148.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $779.55 / $965.55 / $1,940.25	Professional		$779.55	$965.55	$1,940.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,127.50 / $1,566.25 / $1,902.00	Professional		$1,127.50	$1,566.25	$1,902.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.27 / $1,479.98 / $2,148.31	Facility		$297.27	$1,479.98	$2,148.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $631.40 / $1,547.70 / $1,982.20	Professional		$631.40	$1,547.70	$1,982.20
United Facility/Professional Professional Modifier Low / Median / High Price $806.62 / $1,411.59 / $1,774.56	Professional		$806.62	$1,411.59	$1,774.56