Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.52 / $6,541.00 / $13,413.92	Facility		$1,497.52	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,069.83 / $1,069.83 / $1,123.14	Facility	54	$1,069.83	$1,069.83	$1,123.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.27 / $2,419.31 / $2,539.86	Professional		$466.27	$2,419.31	$2,539.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,210.59 / $1,607.07 / $2,292.96	Professional		$1,210.59	$1,607.07	$2,292.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $491.32 / $2,419.31 / $3,555.80	Facility		$491.32	$2,419.31	$3,555.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,586.61 / $3,188.25	Professional		$1,251.00	$1,586.61	$3,188.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,839.50 / $2,595.48 / $3,113.00	Professional		$1,839.50	$2,595.48	$3,113.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.32 / $2,419.31 / $3,555.80	Facility		$491.32	$2,419.31	$3,555.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.56 / $2,476.25 / $3,315.40	Professional		$1,041.56	$2,476.25	$3,315.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,349.40 / $2,361.44 / $2,968.68	Professional		$1,349.40	$2,361.44	$2,968.68