Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.85 / $6,541.00 / $13,413.92	Facility		$1,118.85	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $830.89 / $830.89 / $839.15	Facility	54	$830.89	$830.89	$839.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.06 / $1,878.95 / $1,897.61	Professional		$361.06	$1,878.95	$1,897.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.25 / $1,249.80 / $1,704.63	Professional		$939.25	$1,249.80	$1,704.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.36 / $1,878.95 / $2,656.65	Facility		$372.36	$1,878.95	$2,656.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.63 / $1,178.07 / $2,371.88	Professional		$973.63	$1,178.07	$2,371.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,386.25 / $1,912.64 / $2,384.00	Professional		$1,386.25	$1,912.64	$2,384.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.36 / $1,878.95 / $2,656.65	Facility		$372.36	$1,878.95	$2,656.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.30 / $1,912.64 / $2,435.40	Professional		$776.30	$1,912.64	$2,435.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.50 / $1,759.63 / $2,212.10	Professional		$1,005.50	$1,759.63	$2,212.10