Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.19 / $9,577.00 / $14,552.94	Facility		$2,138.19	$9,577.00	$14,552.94
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,603.65 / $1,603.65 / $1,603.65	Facility	54	$1,603.65	$1,603.65	$1,603.65
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $320.73 / $320.73 / $320.73	Facility	55	$320.73	$320.73	$320.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.73 / $1,003.86 / $4,106.85	Professional		$861.73	$1,003.86	$4,106.85
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $2,967.35 / $3,080.14 / $3,080.14	Professional	54	$2,967.35	$3,080.14	$3,080.14
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $593.47 / $616.03 / $616.03	Professional	55	$593.47	$616.03	$616.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.39 / $2,460.39 / $2,460.39	Professional		$2,460.39	$2,460.39	$2,460.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $901.64 / $1,084.95 / $5,872.80	Facility		$901.64	$1,084.95	$5,872.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,786.33 / $2,143.59 / $5,168.27	Professional		$1,786.33	$2,143.59	$5,168.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,761.25 / $2,984.85 / $4,190.25	Professional		$2,761.25	$2,984.85	$4,190.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.95 / $1,084.95 / $5,872.80	Facility		$1,084.95	$1,084.95	$5,872.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.59 / $3,498.00 / $5,096.25	Professional		$1,071.59	$3,498.00	$5,096.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.69 / $1,968.32 / $5,960.39	Professional		$1,225.69	$1,968.32	$5,960.39