Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.06 / $400.12 / $467.04	Professional		$231.06	$400.12	$467.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.66 / $467.04 / $667.87	Facility		$289.66	$467.04	$667.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.20 / $1,588.95 / $2,174.25	Professional		$981.20	$1,588.95	$2,174.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.66 / $467.04 / $667.87	Facility		$289.66	$467.04	$667.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,014.65 / $1,672.50 / $2,230.00	Professional		$1,014.65	$1,672.50	$2,230.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.62 / $1,006.86 / $2,777.26	Professional		$591.62	$1,006.86	$2,777.26