Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.07 / $6,541.00 / $13,413.92	Facility		$834.07	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $503.70 / $503.70 / $625.54	Facility	54	$503.70	$503.70	$625.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $328.37 / $1,601.99	Professional		$227.86	$328.37	$1,601.99
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $967.46 / $967.46 / $1,201.49	Professional	54	$967.46	$967.46	$1,201.49
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $193.49 / $193.49 / $240.30	Professional	55	$193.49	$193.49	$240.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.12 / $642.12 / $950.30	Professional		$642.12	$642.12	$950.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.72 / $356.89 / $2,290.85	Facility		$284.72	$356.89	$2,290.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $565.25 / $773.96 / $1,541.75	Professional		$565.25	$773.96	$1,541.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.75 / $1,102.20 / $1,514.25	Professional		$838.75	$1,102.20	$1,514.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.52 / $442.48 / $2,290.85	Facility		$345.52	$442.48	$2,290.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $1,116.25 / $1,568.80	Professional		$318.73	$1,116.25	$1,568.80
United Facility/Professional Professional Modifier Low / Median / High Price $519.98 / $760.24 / $2,302.13	Professional		$519.98	$760.24	$2,302.13