Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,001.18 / $1,001.18 / $1,001.18	Facility	54	$1,001.18	$1,001.18	$1,001.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.49 / $2,264.03 / $2,264.03	Professional		$436.49	$2,264.03	$2,264.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.86 / $1,501.23 / $2,034.27	Professional		$1,131.86	$1,501.23	$2,034.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.59 / $2,264.03 / $3,169.64	Facility		$448.59	$2,264.03	$3,169.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.38 / $1,408.05 / $2,858.47	Professional		$1,173.38	$1,408.05	$2,858.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,658.75 / $2,301.36 / $2,878.00	Professional		$1,658.75	$2,301.36	$2,878.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.59 / $2,264.03 / $3,169.64	Facility		$448.59	$2,264.03	$3,169.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.36 / $2,274.60 / $2,908.40	Professional		$694.36	$2,274.60	$2,908.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.98 / $2,058.40 / $2,642.16	Professional		$1,200.98	$2,058.40	$2,642.16