Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $17,695.00	Facility		$9,285.00	$10,900.00	$17,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $3,901.02 / $3,901.02	Professional		$518.60	$3,901.02	$3,901.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.16 / $1,074.65 / $5,578.46	Facility		$923.16	$1,074.65	$5,578.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,492.50 / $2,914.65 / $3,939.99	Professional		$2,492.50	$2,914.65	$3,939.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,074.65 / $1,074.65 / $5,578.46	Facility		$1,074.65	$1,074.65	$5,578.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,492.50 / $3,489.50 / $4,556.29	Professional		$2,492.50	$3,489.50	$4,556.29
United Facility/Professional Professional Modifier Low / Median / High Price $894.16 / $1,841.54 / $5,576.48	Professional		$894.16	$1,841.54	$5,576.48