Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.62 / $3,110.26 / $10,793.00	Facility		$557.62	$3,110.26	$10,793.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,100.31 / $1,158.69 / $3,733.00	Facility	54	$1,100.31	$1,158.69	$3,733.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $1,069.75 / $3,144.28	Professional		$499.55	$1,069.75	$3,144.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.25 / $1,650.10 / $2,373.33	Professional		$1,241.25	$1,650.10	$2,373.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $2,488.21 / $3,668.34	Facility		$506.05	$2,488.21	$3,668.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.20 / $1,638.99 / $3,293.55	Professional		$1,288.20	$1,638.99	$3,293.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,895.40 / $2,679.76 / $3,164.00	Professional		$1,895.40	$2,679.76	$3,164.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $2,488.21 / $3,668.34	Facility		$506.05	$2,488.21	$3,668.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,074.56 / $2,578.94 / $3,207.60	Professional		$1,074.56	$2,578.94	$3,207.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.68 / $2,094.96 / $3,055.10	Professional		$1,388.68	$2,094.96	$3,055.10