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 $143.13 / $230.49 / $230.49	Professional		$143.13	$230.49	$230.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.13 / $230.49 / $322.69	Facility		$211.13	$230.49	$322.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.80 / $826.50 / $1,554.15	Professional		$739.80	$826.50	$1,554.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.40 / $230.49 / $322.69	Facility		$213.40	$230.49	$322.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.96 / $907.50 / $1,673.70	Professional		$541.96	$907.50	$1,673.70
United Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $716.00 / $1,432.00	Professional		$716.00	$716.00	$1,432.00