Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,324.40 / $1,324.40 / $1,324.40	Facility	54	$1,324.40	$1,324.40	$1,324.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.10 / $3,391.67 / $3,391.67	Professional		$963.10	$3,391.67	$3,391.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,104.01 / $3,104.01 / $3,104.01	Professional		$3,104.01	$3,104.01	$3,104.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $754.02 / $919.20 / $4,850.09	Facility		$754.02	$919.20	$4,850.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.25 / $1,799.10 / $4,266.85	Professional		$1,499.25	$1,799.10	$4,266.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,317.50 / $2,688.30 / $4,996.85	Professional		$2,317.50	$2,688.30	$4,996.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.20 / $919.20 / $4,850.09	Facility		$919.20	$919.20	$4,850.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,013.43 / $3,367.50 / $6,077.25	Professional		$1,013.43	$3,367.50	$6,077.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,533.97 / $2,483.21 / $7,519.59	Professional		$1,533.97	$2,483.21	$7,519.59