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 $281.42 / $281.42 / $281.42	Professional		$281.42	$281.42	$281.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.42 / $393.99 / $402.43	Facility		$281.42	$393.99	$402.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.75 / $1,004.40 / $1,080.00	Professional		$918.75	$1,004.40	$1,080.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.42 / $393.99 / $596.42	Facility		$281.42	$393.99	$596.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $972.00 / $1,285.20	Professional		$810.00	$972.00	$1,285.20
United Facility/Professional Professional Modifier Low / Median / High Price $476.08 / $476.80 / $862.34	Professional		$476.08	$476.80	$862.34