Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.82 / $7,340.00 / $13,413.92	Facility		$697.82	$7,340.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $445.95 / $475.68 / $558.26	Facility	54	$445.95	$475.68	$558.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $341.21 / $1,340.33	Professional		$243.49	$341.21	$1,340.33
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $856.54 / $913.64 / $1,005.25	Professional	54	$856.54	$913.64	$1,005.25
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $171.31 / $171.31 / $201.05	Professional	55	$171.31	$171.31	$201.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.02 / $742.18 / $799.00	Professional		$686.02	$742.18	$799.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.03 / $297.57 / $1,916.67	Facility		$249.03	$297.57	$1,916.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.48 / $687.42 / $1,272.25	Professional		$492.48	$687.42	$1,272.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.25 / $986.85 / $1,387.65	Professional		$761.25	$986.85	$1,387.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.57 / $360.44 / $1,916.67	Facility		$297.57	$360.44	$1,916.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.73 / $996.60 / $1,411.34	Professional		$280.73	$996.60	$1,411.34
United Facility/Professional Professional Modifier Low / Median / High Price $399.01 / $639.20 / $1,935.60	Professional		$399.01	$639.20	$1,935.60