Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $4,714.20 / $11,709.00	Facility		$2,236.00	$4,714.20	$11,709.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $311.63 / $311.63 / $311.63	Facility	53	$311.63	$311.63	$311.63
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,168.60 / $1,168.60 / $1,168.60	Facility	54	$1,168.60	$1,168.60	$1,168.60
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $233.72 / $233.72 / $233.72	Facility	55	$233.72	$233.72	$233.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.09 / $758.89 / $2,992.74	Professional		$621.09	$758.89	$2,992.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $1,443.23 / $1,496.37 / $1,496.37	Professional	52	$1,443.23	$1,496.37	$1,496.37
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $496.89 / $2,244.56 / $2,244.56	Professional	54	$496.89	$2,244.56	$2,244.56
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $432.97 / $448.91 / $448.91	Professional	55	$432.97	$448.91	$448.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.02 / $1,431.02 / $1,789.92	Professional		$1,431.02	$1,431.02	$1,789.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.35 / $793.69 / $4,279.62	Facility		$658.35	$793.69	$4,279.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.38 / $1,565.25 / $3,765.85	Professional		$1,304.38	$1,565.25	$3,765.85
Moda Health Facility/Professional Professional Modifier 54 Low / Median / High Price $2,836.26 / $2,836.26 / $2,836.26	Professional	54	$2,836.26	$2,836.26	$2,836.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,016.25 / $2,270.00 / $4,101.75	Professional		$2,016.25	$2,270.00	$4,101.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.69 / $793.69 / $4,279.62	Facility		$793.69	$793.69	$4,279.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $853.00 / $2,549.25 / $4,165.56	Professional		$853.00	$2,549.25	$4,165.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.46 / $4,561.46 / $4,561.46	Facility		$4,561.46	$4,561.46	$4,561.46
United Facility/Professional Professional Modifier Low / Median / High Price $872.31 / $1,431.94 / $4,336.14	Professional		$872.31	$1,431.94	$4,336.14