Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $16,595.87 / $33,884.42	Facility		$5,754.40	$16,595.87	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $741.31	Professional		$562.34	$630.96	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $741.31 / $33,884.42	Facility		$363.08	$741.31	$33,884.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $912.01	Professional		$363.08	$676.08	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,467.37	Professional		$2,398.83	$2,398.83	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $741.31 / $1,047.13	Facility		$426.58	$741.31	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $3,715.35	Professional		$933.25	$1,584.89	$3,715.35