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 $509.93 / $881.28 / $881.28	Professional		$509.93	$881.28	$881.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $615.08 / $881.28 / $1,233.79	Facility		$615.08	$881.28	$1,233.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $3,055.05 / $3,685.50	Professional		$1,755.00	$3,055.05	$3,685.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.08 / $881.28 / $1,233.79	Facility		$615.08	$881.28	$1,233.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,828.75 / $4,010.18	Professional		$1,755.00	$2,828.75	$4,010.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,586.30 / $3,172.60 / $3,489.86	Professional		$1,586.30	$3,172.60	$3,489.86