Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $5,084.91 / $13,413.92	Facility		$225.00	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $641.54 / $641.54 / $689.77	Facility	54	$641.54	$641.54	$689.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $324.32 / $1,559.82	Professional		$248.03	$324.32	$1,559.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.68 / $942.71 / $1,443.47	Professional		$717.68	$942.71	$1,443.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.89 / $1,450.75 / $2,183.75	Facility		$292.89	$1,450.75	$2,183.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $770.65 / $1,001.46 / $2,012.40	Professional		$770.65	$1,001.46	$2,012.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.90 / $1,585.50 / $1,884.00	Professional		$1,095.90	$1,585.50	$1,884.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.38 / $1,450.75 / $2,183.75	Facility		$304.38	$1,450.75	$2,183.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.25 / $1,529.55 / $2,039.40	Professional		$632.25	$1,529.55	$2,039.40
United Facility/Professional Professional Modifier Low / Median / High Price $811.46 / $1,390.79 / $1,785.21	Professional		$811.46	$1,390.79	$1,785.21