Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $10,000.00 / $20,417.38	Facility		$3,388.44	$10,000.00	$20,417.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility	50	$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,348.96	Professional		$478.63	$630.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,737.80	Professional		$512.86	$724.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,047.13 / $13,489.63	Facility		$549.54	$1,047.13	$13,489.63
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $6,456.54 / $11,220.18	Facility	50	$4,365.16	$6,456.54	$11,220.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $3,388.44	Professional		$891.25	$1,621.81	$3,388.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,019.95	Professional		$1,288.25	$2,137.96	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,995.26	Facility		$549.54	$812.83	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $1,737.80	Professional		$60.26	$776.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,380.38 / $3,801.89	Professional		$489.78	$1,380.38	$3,801.89