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 $206.42 / $206.42 / $206.42	Professional		$206.42	$206.42	$206.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.42 / $288.99 / $295.18	Facility		$206.42	$288.99	$295.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.25 / $714.85 / $832.00	Professional		$616.25	$714.85	$832.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.42 / $288.99 / $295.18	Facility		$206.42	$288.99	$295.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.25 / $748.80 / $990.08	Professional		$616.25	$748.80	$990.08
United Facility/Professional Professional Modifier Low / Median / High Price $311.18 / $588.27 / $715.71	Professional		$311.18	$588.27	$715.71