Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $4,806.00 / $13,413.92	Facility		$306.00	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $254.63 / $254.63 / $255.89	Facility	54	$254.63	$254.63	$255.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $203.39 / $578.66	Professional		$102.07	$203.39	$578.66
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $82.23 / $431.85 / $479.69	Professional	54	$82.23	$431.85	$479.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.37 / $378.93 / $530.49	Professional		$284.37	$378.93	$530.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.06 / $575.79 / $810.14	Facility		$114.06	$575.79	$810.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $368.76 / $748.60	Professional		$307.30	$368.76	$748.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $621.25 / $752.00	Professional		$428.75	$621.25	$752.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $575.79 / $810.14	Facility		$116.70	$575.79	$810.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $602.25 / $785.40	Professional		$245.70	$602.25	$785.40
United Facility/Professional Professional Modifier Low / Median / High Price $307.98 / $464.62 / $677.56	Professional		$307.98	$464.62	$677.56