Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $1,299.90 / $11,709.00	Facility		$249.90	$1,299.90	$11,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $321.30 / $321.30 / $459.86	Facility	54	$321.30	$321.30	$459.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $331.23 / $1,039.92	Professional		$163.80	$331.23	$1,039.92
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $142.87 / $736.88 / $1,088.52	Professional	54	$142.87	$736.88	$1,088.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $647.69 / $957.83	Professional		$489.00	$647.69	$957.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.58 / $982.51 / $1,455.89	Facility		$197.58	$982.51	$1,455.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.98 / $660.84 / $1,327.95	Professional		$519.98	$660.84	$1,327.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.50 / $1,071.00 / $1,276.00	Professional		$760.50	$1,071.00	$1,276.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $982.51 / $1,455.89	Facility		$202.40	$982.51	$1,455.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.31 / $1,027.25 / $1,287.00	Professional		$428.31	$1,027.25	$1,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.24 / $964.67 / $1,212.73	Professional		$551.24	$964.67	$1,212.73