Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.50 / $5,084.91 / $13,413.92	Facility		$337.50	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $655.48 / $655.48 / $705.62	Facility	54	$655.48	$655.48	$705.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.92 / $336.52 / $1,595.68	Professional		$257.92	$336.52	$1,595.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.82 / $976.21 / $1,469.46	Professional		$737.82	$976.21	$1,469.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.60 / $1,482.31 / $2,233.94	Facility		$299.60	$1,482.31	$2,233.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.63 / $1,024.74 / $2,059.19	Professional		$787.63	$1,024.74	$2,059.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.70 / $1,617.00 / $1,924.00	Professional		$1,129.70	$1,617.00	$1,924.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.88 / $1,482.31 / $2,233.94	Facility		$310.88	$1,482.31	$2,233.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.94 / $1,552.65 / $2,103.19	Professional		$646.94	$1,552.65	$2,103.19
United Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,472.63 / $1,851.30	Professional		$841.50	$1,472.63	$1,851.30