Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,595.87	Facility		$2,511.89	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $776.25 / $1,096.48	Professional		$295.12	$776.25	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,122.02 / $1,621.81	Facility		$295.12	$1,122.02	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $758.58 / $1,122.02	Professional		$295.12	$758.58	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $3,311.31	Professional		$1,230.27	$3,235.94	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $758.58 / $1,584.89	Facility		$309.03	$758.58	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,949.84 / $2,454.71	Professional		$489.78	$1,949.84	$2,454.71