Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.50 / $5,084.91 / $13,413.92	Facility		$337.50	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $407.19 / $407.19 / $445.90	Facility	54	$407.19	$407.19	$445.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $219.21 / $1,008.34	Professional		$164.59	$219.21	$1,008.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.54 / $610.17 / $925.77	Professional		$458.54	$610.17	$925.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.88 / $920.80 / $1,411.68	Facility		$192.88	$920.80	$1,411.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.20 / $642.39 / $1,290.90	Professional		$485.20	$642.39	$1,290.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.40 / $997.50 / $1,236.00	Professional		$712.40	$997.50	$1,236.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.31 / $920.80 / $1,411.68	Facility		$196.31	$920.80	$1,411.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.75 / $966.00 / $1,359.60	Professional		$398.75	$966.00	$1,359.60
United Facility/Professional Professional Modifier Low / Median / High Price $536.55 / $938.98 / $1,180.43	Professional		$536.55	$938.98	$1,180.43