Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $5,087.68 / $13,413.92	Facility		$2,464.00	$5,087.68	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,735.53 / $1,735.53 / $1,735.53	Facility	54	$1,735.53	$1,735.53	$1,735.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $1,137.58 / $4,444.56	Professional		$599.08	$1,137.58	$4,444.56
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $626.05 / $666.68 / $666.68	Professional	55	$626.05	$666.68	$666.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.83 / $947.83 / $2,521.03	Professional		$947.83	$947.83	$2,521.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $985.82 / $1,214.65 / $6,355.72	Facility		$985.82	$1,214.65	$6,355.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.05 / $2,358.06 / $5,517.30	Professional		$1,965.05	$2,358.06	$5,517.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,692.50 / $3,312.90 / $4,446.89	Professional		$2,692.50	$3,312.90	$4,446.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,214.65 / $1,214.65 / $6,355.72	Facility		$1,214.65	$1,214.65	$6,355.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $3,488.10 / $4,803.75	Professional		$860.00	$3,488.10	$4,803.75
United Facility/Professional Professional Modifier Low / Median / High Price $868.06 / $2,016.82 / $6,107.25	Professional		$868.06	$2,016.82	$6,107.25