Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.56 / $6,541.00 / $13,413.92	Facility		$1,295.56	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $971.67 / $971.67 / $1,073.22	Facility	54	$971.67	$971.67	$1,073.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.98 / $2,197.33 / $2,640.74	Professional		$423.98	$2,197.33	$2,640.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.44 / $1,447.74 / $2,215.94	Professional		$1,095.44	$1,447.74	$2,215.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.33 / $2,197.33 / $3,397.73	Facility		$471.33	$2,197.33	$3,397.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.83 / $1,532.25 / $3,079.05	Professional		$1,141.83	$1,532.25	$3,079.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,666.60 / $2,378.25 / $2,854.00	Professional		$1,666.60	$2,378.25	$2,854.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.33 / $2,197.33 / $3,397.73	Facility		$471.33	$2,197.33	$3,397.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $950.81 / $2,268.21 / $2,929.37	Professional		$950.81	$2,268.21	$2,929.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.16 / $2,178.67 / $2,796.55	Professional		$1,271.16	$2,178.67	$2,796.55