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 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.74 / $790.74 / $790.74	Professional		$790.74	$790.74	$790.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.74 / $1,107.04 / $1,130.76	Facility		$790.74	$1,107.04	$1,130.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,346.25 / $2,721.65 / $8,482.00	Professional		$2,346.25	$2,721.65	$8,482.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.74 / $1,107.04 / $1,130.76	Facility		$790.74	$1,107.04	$1,130.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,345.00 / $6,378.00 / $10,093.58	Professional		$2,345.00	$6,378.00	$10,093.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.20 / $2,355.92 / $3,547.80	Professional		$1,274.20	$2,355.92	$3,547.80