Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.38 / $4,806.00 / $13,413.92	Facility		$1,106.38	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $829.79 / $829.79 / $909.75	Facility	54	$829.79	$829.79	$909.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $1,876.45 / $2,250.21	Professional		$360.82	$1,876.45	$2,250.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.22 / $1,243.71 / $1,874.35	Professional		$935.22	$1,243.71	$1,874.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.78 / $1,876.45 / $2,880.18	Facility		$397.78	$1,876.45	$2,880.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.63 / $1,293.54 / $2,599.35	Professional		$973.63	$1,293.54	$2,599.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.40 / $2,023.00 / $2,415.60	Professional		$1,427.40	$2,023.00	$2,415.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.78 / $1,876.45 / $2,880.18	Facility		$397.78	$1,876.45	$2,880.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.56 / $1,923.25 / $2,490.15	Professional		$810.56	$1,923.25	$2,490.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.30 / $1,636.14 / $2,385.98	Professional		$1,074.30	$1,636.14	$2,385.98