Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,587.92 / $11,154.00 / $16,713.96	Facility		$5,587.92	$11,154.00	$16,713.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.39 / $411.39 / $411.39	Professional		$411.39	$411.39	$411.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $411.39 / $575.95 / $588.29	Facility		$411.39	$575.95	$588.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $1,416.25 / $1,642.85	Professional		$220.50	$1,416.25	$1,642.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.39 / $454.42 / $588.29	Facility		$411.39	$454.42	$588.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $294.00 / $1,416.25	Professional		$220.50	$294.00	$1,416.25
United Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $197.91 / $303.69	Professional		$131.94	$197.91	$303.69