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 $1,915.63 / $1,915.63 / $1,915.63	Professional		$1,915.63	$1,915.63	$1,915.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $896.52 / $1,915.63 / $2,681.88	Facility		$896.52	$1,915.63	$2,681.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,875.00 / $6,815.00 / $9,400.00	Professional		$5,875.00	$6,815.00	$9,400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $871.17 / $1,915.63 / $2,681.88	Facility		$871.17	$1,915.63	$2,681.88
United Facility/Professional Professional Modifier Low / Median / High Price $4,038.21 / $6,385.17 / $13,771.94	Professional		$4,038.21	$6,385.17	$13,771.94