Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.61 / $6,541.00 / $13,413.92	Facility		$1,493.61	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,037.08 / $1,037.08 / $1,120.21	Facility	54	$1,037.08	$1,037.08	$1,120.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $1,493.61 / $2,533.21	Professional		$409.00	$1,493.61	$2,533.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.99 / $1,563.06 / $2,282.67	Professional		$1,173.99	$1,563.06	$2,282.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.21 / $2,345.21 / $3,546.51	Facility		$487.21	$2,345.21	$3,546.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.05 / $1,570.11 / $3,155.10	Professional		$1,200.05	$1,570.11	$3,155.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,791.40 / $2,511.25 / $2,984.00	Professional		$1,791.40	$2,511.25	$2,984.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.21 / $2,345.21 / $3,546.51	Facility		$487.21	$2,345.21	$3,546.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,005.13 / $2,408.00 / $3,043.95	Professional		$1,005.13	$2,408.00	$3,043.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.24 / $2,350.67 / $2,955.13	Professional		$1,343.24	$2,350.67	$2,955.13