Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.30 / $5,084.91 / $13,413.92	Facility		$321.30	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $487.85 / $487.85 / $522.12	Facility	54	$487.85	$487.85	$522.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $252.93 / $1,180.73	Professional		$195.15	$252.93	$1,180.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.97 / $725.06 / $1,089.13	Professional		$545.97	$725.06	$1,089.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $1,103.23 / $1,653.02	Facility		$229.70	$1,103.23	$1,653.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $753.03 / $1,513.20	Professional		$583.04	$753.03	$1,513.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.60 / $1,198.75 / $1,432.00	Professional		$847.60	$1,198.75	$1,432.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $1,103.23 / $1,653.02	Facility		$229.70	$1,103.23	$1,653.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $481.94 / $1,141.00 / $1,489.82	Professional		$481.94	$1,141.00	$1,489.82
United Facility/Professional Professional Modifier Low / Median / High Price $623.62 / $1,247.24 / $1,371.96	Professional		$623.62	$1,247.24	$1,371.96