Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,840.00 / $8,002.00	Facility		$803.00	$2,840.00	$8,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $3,511.00	Professional		$65.00	$65.00	$3,511.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.19 / $592.19 / $592.19	Professional		$592.19	$592.19	$592.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $104.00	Facility		$65.00	$65.00	$104.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $955.62 / $1,873.02	Facility		$65.00	$955.62	$1,873.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,414.00 / $7,503.00 / $16,982.00	Facility		$2,414.00	$7,503.00	$16,982.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,616.68 / $1,616.68 / $2,182.52	Professional		$1,616.68	$1,616.68	$2,182.52