Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.78 / $1,203.40 / $10,900.00	Facility		$526.78	$1,203.40	$10,900.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $395.08 / $395.08 / $452.18	Facility	54	$395.08	$395.08	$452.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $398.11 / $1,017.27	Professional		$136.69	$398.11	$1,017.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.22 / $354.70 / $673.44	Professional		$309.22	$354.70	$673.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $888.78 / $1,244.29 / $1,424.18	Facility		$888.78	$1,244.29	$1,424.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.63 / $539.54 / $624.92	Professional		$449.63	$539.54	$624.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $763.10 / $906.75	Professional		$447.58	$763.10	$906.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.78 / $1,244.29 / $1,424.18	Facility		$888.78	$1,244.29	$1,424.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $645.00 / $1,174.49	Professional		$314.14	$645.00	$1,174.49
United Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $538.76 / $812.78	Professional		$226.85	$538.76	$812.78