Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,399.10 / $13,413.92 / $20,143.00	Facility		$3,399.10	$13,413.92	$20,143.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $2,549.33 / $2,549.33 / $2,549.33	Facility	54	$2,549.33	$2,549.33	$2,549.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.43 / $6,528.68 / $6,528.68	Professional		$1,091.43	$6,528.68	$6,528.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,901.97 / $3,901.97 / $3,901.97	Professional		$3,901.97	$3,901.97	$3,901.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.03 / $1,716.28 / $9,336.01	Facility		$1,432.03	$1,716.28	$9,336.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,834.35 / $3,401.22 / $8,241.19	Professional		$2,834.35	$3,401.22	$8,241.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,206.25 / $4,731.75 / $6,414.15	Professional		$4,206.25	$4,731.75	$6,414.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,716.28 / $1,716.28 / $9,336.01	Facility		$1,716.28	$1,716.28	$9,336.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,118.85 / $5,517.60 / $7,593.75	Professional		$1,118.85	$5,517.60	$7,593.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.09 / $3,121.58 / $9,452.64	Professional		$1,458.09	$3,121.58	$9,452.64