Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.96 / $4,591.87 / $4,591.87	Professional		$909.96	$4,591.87	$4,591.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.96 / $4,591.87 / $6,428.62	Facility		$909.96	$4,591.87	$6,428.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,354.83 / $2,825.79 / $5,736.64	Professional		$2,354.83	$2,825.79	$5,736.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,295.00 / $4,618.89 / $5,850.00	Professional		$3,295.00	$4,618.89	$5,850.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $909.96 / $4,591.87 / $6,428.62	Facility		$909.96	$4,591.87	$6,428.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,388.21 / $4,492.25 / $5,852.00	Professional		$1,388.21	$4,492.25	$5,852.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.06 / $4,200.10 / $5,280.13	Professional		$2,400.06	$4,200.10	$5,280.13