Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.97 / $6,541.00 / $13,413.92	Facility		$1,387.97	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,022.57 / $1,022.57 / $1,040.98	Facility	54	$1,022.57	$1,022.57	$1,040.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.76 / $2,312.42 / $2,354.05	Professional		$445.76	$2,312.42	$2,354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.03 / $1,533.56 / $2,122.85	Professional		$1,156.03	$1,533.56	$2,122.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $458.02 / $2,312.42 / $3,295.67	Facility		$458.02	$2,312.42	$3,295.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.45 / $1,463.37 / $2,940.60	Professional		$1,198.45	$1,463.37	$2,940.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.75 / $2,362.50 / $2,946.00	Professional		$1,718.75	$2,362.50	$2,946.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.02 / $2,312.42 / $3,295.67	Facility		$458.02	$2,312.42	$3,295.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $2,361.30 / $2,978.80	Professional		$950.60	$2,361.30	$2,978.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.80 / $2,176.65 / $2,736.36	Professional		$1,243.80	$2,176.65	$2,736.36