Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.94 / $6,541.00 / $13,413.92	Facility		$1,944.94	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,282.91 / $1,282.91 / $1,458.71	Facility	54	$1,282.91	$1,282.91	$1,458.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.75 / $3,285.44 / $3,735.63	Professional		$569.75	$3,285.44	$3,735.63
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $2,464.08 / $2,464.08 / $2,801.72	Professional	54	$2,464.08	$2,464.08	$2,801.72
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $492.82 / $492.82 / $560.34	Professional	55	$492.82	$492.82	$560.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.17 / $667.17 / $2,193.30	Professional		$667.17	$667.17	$2,193.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.93 / $889.76 / $5,341.95	Facility		$730.93	$889.76	$5,341.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.18 / $1,981.40 / $3,608.50	Professional		$1,453.18	$1,981.40	$3,608.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,142.50 / $2,794.50 / $3,589.00	Professional		$2,142.50	$2,794.50	$3,589.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.76 / $1,030.94 / $5,341.95	Facility		$889.76	$1,030.94	$5,341.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $667.17 / $2,816.55 / $3,930.20	Professional		$667.17	$2,816.55	$3,930.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.12 / $1,754.64 / $2,631.96	Professional		$1,751.12	$1,754.64	$2,631.96