Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.16 / $6,541.00 / $13,413.92	Facility		$1,023.16	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $712.16 / $712.16 / $767.37	Facility	54	$712.16	$712.16	$767.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $355.50 / $1,735.32	Professional		$272.06	$355.50	$1,735.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.46 / $1,045.36 / $1,604.53	Professional		$795.46	$1,045.36	$1,604.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $324.95 / $1,610.47 / $2,429.44	Facility		$324.95	$1,610.47	$2,429.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $854.75 / $1,114.02 / $2,238.60	Professional		$854.75	$1,114.02	$2,238.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,212.90 / $1,758.75 / $2,096.19	Professional		$1,212.90	$1,758.75	$2,096.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.30 / $1,610.47 / $2,429.44	Facility		$338.30	$1,610.47	$2,429.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.75 / $1,696.20 / $2,261.60	Professional		$699.75	$1,696.20	$2,261.60
United Facility/Professional Professional Modifier Low / Median / High Price $902.46 / $1,804.92 / $1,985.41	Professional		$902.46	$1,804.92	$1,985.41