Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,854.05 / $9,577.00 / $14,552.94	Facility		$1,854.05	$9,577.00	$14,552.94
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,019.29 / $1,019.29 / $1,390.54	Facility	54	$1,019.29	$1,019.29	$1,390.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $627.99 / $3,561.07	Professional		$387.37	$627.99	$3,561.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $647.00 / $2,088.94	Professional		$647.00	$647.00	$2,088.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $580.95 / $798.63 / $5,092.33	Facility		$580.95	$798.63	$5,092.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.78 / $1,645.89 / $3,298.03	Professional		$1,154.78	$1,645.89	$3,298.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,471.25 / $3,360.90	Professional		$1,700.00	$2,471.25	$3,360.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $706.14 / $998.62 / $5,092.33	Facility		$706.14	$998.62	$5,092.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $2,367.75 / $3,444.70	Professional		$646.00	$2,367.75	$3,444.70
United Facility/Professional Professional Modifier Low / Median / High Price $774.68 / $1,651.36 / $5,060.54	Professional		$774.68	$1,651.36	$5,060.54