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 $243.44 / $243.44 / $243.44	Professional		$243.44	$243.44	$243.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.81 / $243.44 / $340.82	Facility		$162.81	$243.44	$340.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.25 / $842.45 / $1,090.00	Professional		$726.25	$842.45	$1,090.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.81 / $243.44 / $340.82	Facility		$162.81	$243.44	$340.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $726.25 / $953.75 / $1,297.09	Professional		$726.25	$953.75	$1,297.09
United Facility/Professional Professional Modifier Low / Median / High Price $493.94 / $494.38 / $745.16	Professional		$493.94	$494.38	$745.16