Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $2,983.00 / $10,900.00	Facility		$303.80	$2,983.00	$10,900.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $951.20 / $951.20 / $1,055.28	Facility	54	$951.20	$951.20	$1,055.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.29 / $2,151.04 / $2,581.23	Professional		$373.29	$2,151.04	$2,581.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.46 / $1,416.08 / $2,161.35	Professional		$1,066.46	$1,416.08	$2,161.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.36 / $2,151.04 / $3,340.96	Facility		$425.36	$2,151.04	$3,340.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.09 / $1,498.29 / $3,010.80	Professional		$1,111.09	$1,498.29	$3,010.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,555.00 / $2,238.80 / $2,774.00	Professional		$1,555.00	$2,238.80	$2,774.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.84 / $2,151.04 / $3,340.96	Facility		$457.84	$2,151.04	$3,340.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $2,215.29 / $2,862.60	Professional		$923.31	$2,215.29	$2,862.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,249.88 / $2,142.21 / $2,749.74	Professional		$1,249.88	$2,142.21	$2,749.74