Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.59 / $6,162.10 / $11,709.00	Facility		$1,177.59	$6,162.10	$11,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,057.32 / $1,057.32 / $1,146.80	Facility	54	$1,057.32	$1,057.32	$1,146.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.43 / $543.21 / $2,593.37	Professional		$426.43	$543.21	$2,593.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.69 / $1,596.32 / $2,345.34	Professional		$1,197.69	$1,596.32	$2,345.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.88 / $2,391.02 / $3,630.72	Facility		$500.88	$2,391.02	$3,630.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.18 / $1,615.71 / $3,246.75	Professional		$1,229.18	$1,615.71	$3,246.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,839.50 / $2,572.50 / $3,078.00	Professional		$1,839.50	$2,572.50	$3,078.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.88 / $2,391.02 / $3,630.72	Facility		$500.88	$2,391.02	$3,630.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.81 / $2,466.75 / $3,131.70	Professional		$1,027.81	$2,466.75	$3,131.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.32 / $2,408.56 / $3,027.90	Professional		$1,376.32	$2,408.56	$3,027.90