Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.44 / $894.40 / $1,043.91	Professional		$516.44	$894.40	$1,043.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.36 / $1,043.91 / $1,492.79	Facility		$647.36	$1,043.91	$1,492.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,717.55 / $3,516.15 / $4,262.00	Professional		$1,717.55	$3,516.15	$4,262.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.36 / $1,043.91 / $1,492.79	Facility		$647.36	$1,043.91	$1,492.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.82 / $2,663.75 / $4,254.00	Professional		$1,033.82	$2,663.75	$4,254.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.02 / $1,153.74 / $2,852.46	Professional		$559.02	$1,153.74	$2,852.46