Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $14,552.94	Facility		$4,473.04	$6,782.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $80.05 / $98.49	Professional		$50.93	$80.05	$98.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.05 / $98.49 / $150.69	Facility		$80.05	$98.49	$150.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $301.25 / $441.03	Professional		$120.50	$301.25	$441.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $98.49 / $150.69	Facility		$83.72	$98.49	$150.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $301.25 / $550.69	Professional		$153.04	$301.25	$550.69
United Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $212.18 / $376.62	Professional		$207.07	$212.18	$376.62