Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,462.31 / $10,900.00 / $17,695.00	Facility		$2,462.31	$10,900.00	$17,695.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,846.73 / $1,846.73 / $1,846.73	Facility	54	$1,846.73	$1,846.73	$1,846.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,729.38 / $4,729.38 / $4,729.38	Professional		$4,729.38	$4,729.38	$4,729.38
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $709.41 / $709.41 / $709.41	Professional	55	$709.41	$709.41	$709.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,876.26 / $2,876.26 / $2,876.26	Professional		$2,876.26	$2,876.26	$2,876.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.91 / $1,242.01 / $6,763.01	Facility		$1,035.91	$1,242.01	$6,763.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.94 / $2,459.94 / $5,958.44	Professional		$2,049.94	$2,459.94	$5,958.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,093.75 / $3,424.95 / $4,639.05	Professional		$3,093.75	$3,424.95	$4,639.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,242.01 / $1,242.01 / $6,763.01	Facility		$1,242.01	$1,242.01	$6,763.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $869.90 / $4,083.75 / $5,568.75	Professional		$869.90	$4,083.75	$5,568.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.23 / $2,301.02 / $3,451.53	Professional		$1,313.23	$2,301.02	$3,451.53