Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.84 / $6,541.00 / $13,413.92	Facility		$869.84	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $609.85 / $609.85 / $652.38	Facility	54	$609.85	$609.85	$652.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $1,379.12 / $1,475.27	Professional		$266.23	$1,379.12	$1,475.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.60 / $901.42 / $1,357.80	Professional		$683.60	$901.42	$1,357.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.18 / $1,379.12 / $2,065.38	Facility		$278.18	$1,379.12	$2,065.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $943.23 / $1,895.40	Professional		$731.03	$943.23	$1,895.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.90 / $1,496.25 / $1,782.00	Professional		$1,043.90	$1,496.25	$1,782.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.08 / $1,379.12 / $2,065.38	Facility		$286.08	$1,379.12	$2,065.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.25 / $1,447.05 / $1,929.40	Professional		$602.25	$1,447.05	$1,929.40
United Facility/Professional Professional Modifier Low / Median / High Price $772.78 / $1,352.37 / $1,700.12	Professional		$772.78	$1,352.37	$1,700.12