Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.60 / $4,806.00 / $13,413.92	Facility		$417.60	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $921.83 / $921.83 / $1,014.49	Facility	54	$921.83	$921.83	$1,014.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.86 / $2,084.60 / $2,294.13	Professional		$398.86	$2,084.60	$2,294.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.23 / $1,371.51 / $2,084.80	Professional		$1,034.23	$1,371.51	$2,084.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.63 / $2,084.60 / $3,211.78	Facility		$441.63	$2,084.60	$3,211.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.38 / $1,442.01 / $2,897.70	Professional		$1,080.38	$1,442.01	$2,897.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,570.40 / $2,234.75 / $2,674.00	Professional		$1,570.40	$2,234.75	$2,674.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.63 / $2,084.60 / $3,211.78	Facility		$441.63	$2,084.60	$3,211.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.56 / $2,135.91 / $2,760.28	Professional		$898.56	$2,135.91	$2,760.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.50 / $2,100.88 / $2,641.10	Professional		$1,200.50	$2,100.88	$2,641.10