Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.60 / $5,084.91 / $13,413.92	Facility		$372.60	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $750.53 / $750.53 / $813.37	Facility	54	$750.53	$750.53	$813.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.51 / $652.66 / $1,839.33	Professional		$290.51	$652.66	$1,839.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.83 / $1,102.98 / $1,697.40	Professional		$839.83	$1,102.98	$1,697.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.90 / $1,697.25 / $2,575.06	Facility		$340.90	$1,697.25	$2,575.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $896.00 / $1,175.16 / $2,361.44	Professional		$896.00	$1,175.16	$2,361.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,281.80 / $1,848.00 / $2,210.40	Professional		$1,281.80	$1,848.00	$2,210.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.38 / $1,697.25 / $2,575.06	Facility		$357.38	$1,697.25	$2,575.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.88 / $1,783.65 / $2,400.19	Professional		$741.88	$1,783.65	$2,400.19
United Facility/Professional Professional Modifier Low / Median / High Price $958.24 / $1,676.92 / $2,108.13	Professional		$958.24	$1,676.92	$2,108.13