Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $1,416.69 / $1,416.69	Professional		$247.46	$1,416.69	$1,416.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.57 / $1,416.69 / $1,983.37	Facility		$878.57	$1,416.69	$1,983.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,382.00 / $5,422.50 / $7,102.20	Professional		$3,382.00	$5,422.50	$7,102.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $1,416.69 / $1,983.37	Facility		$1,185.65	$1,416.69	$1,983.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,382.00 / $5,073.00 / $7,727.87	Professional		$3,382.00	$5,073.00	$7,727.87
United Facility/Professional Professional Modifier Low / Median / High Price $3,057.52 / $5,350.66 / $6,726.54	Professional		$3,057.52	$5,350.66	$6,726.54