Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.17 / $6,541.00 / $13,413.92	Facility		$675.17	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $449.26 / $449.26 / $506.37	Facility	54	$449.26	$449.26	$506.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $237.88 / $1,145.09	Professional		$177.78	$237.88	$1,145.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.89 / $670.33 / $1,057.38	Professional		$505.89	$670.33	$1,057.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.39 / $1,015.94 / $1,603.14	Facility		$205.39	$1,015.94	$1,603.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.33 / $729.75 / $1,466.40	Professional		$535.33	$729.75	$1,466.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.70 / $1,102.50 / $1,374.13	Professional		$778.70	$1,102.50	$1,374.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.45 / $1,015.94 / $1,603.14	Facility		$223.45	$1,015.94	$1,603.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.06 / $1,077.51 / $1,489.40	Professional		$442.06	$1,077.51	$1,489.40
United Facility/Professional Professional Modifier Low / Median / High Price $602.44 / $1,204.88 / $1,325.37	Professional		$602.44	$1,204.88	$1,325.37