Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $3,526.04 / $3,526.04	Professional		$76.15	$3,526.04	$3,526.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $108.89 / $4,936.46	Facility		$76.15	$108.89	$4,936.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $176.04 / $8,897.54	Professional		$136.68	$176.04	$8,897.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $309.27 / $12,818.26	Professional		$135.24	$309.27	$12,818.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $108.89 / $4,936.46	Facility		$76.15	$108.89	$4,936.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $3,066.56 / $11,615.00	Professional		$150.30	$3,066.56	$11,615.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,020.70 / $4,622.50 / $4,622.50	Professional		$3,020.70	$4,622.50	$4,622.50