Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $124.53 / $124.53	Professional		$76.90	$124.53	$124.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $124.53 / $174.34	Facility		$76.90	$124.53	$174.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $429.30 / $567.63	Professional		$275.00	$429.30	$567.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $124.53 / $174.34	Facility		$104.40	$124.53	$174.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $423.00 / $577.50	Professional		$109.64	$423.00	$577.50
United Facility/Professional Professional Modifier Low / Median / High Price $244.88 / $369.43 / $557.10	Professional		$244.88	$369.43	$557.10