Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,586.10 / $10,900.00 / $17,695.00	Facility		$2,586.10	$10,900.00	$17,695.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,939.58 / $1,939.58 / $1,939.58	Facility	54	$1,939.58	$1,939.58	$1,939.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $860.91 / $4,967.10	Professional		$738.41	$860.91	$4,967.10
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $718.19 / $745.07 / $745.07	Professional	55	$718.19	$745.07	$745.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.48 / $1,325.48 / $2,971.76	Professional		$1,325.48	$1,325.48	$2,971.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,090.36 / $1,313.67 / $7,102.97	Facility		$1,090.36	$1,313.67	$7,102.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.75 / $2,592.90 / $6,242.20	Professional		$2,160.75	$2,592.90	$6,242.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,228.75 / $3,613.95 / $4,889.76	Professional		$3,228.75	$3,613.95	$4,889.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,313.67 / $1,313.67 / $7,102.97	Facility		$1,313.67	$1,313.67	$7,102.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,039.00 / $4,230.60 / $5,827.50	Professional		$1,039.00	$4,230.60	$5,827.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.26 / $2,377.40 / $7,199.15	Professional		$1,062.26	$2,377.40	$7,199.15