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 $463.82 / $463.82 / $463.82	Professional		$463.82	$463.82	$463.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $325.94 / $663.26	Facility		$279.49	$325.94	$663.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.60 / $1,574.10 / $1,853.10	Professional		$897.60	$1,574.10	$1,853.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.72 / $379.12 / $663.26	Facility		$319.72	$379.12	$663.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $897.60 / $1,566.00 / $2,412.96	Professional		$897.60	$1,566.00	$2,412.96
United Facility/Professional Professional Modifier Low / Median / High Price $417.78 / $634.26 / $1,920.64	Professional		$417.78	$634.26	$1,920.64