Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.30 / $1,245.72 / $1,245.72	Professional		$772.30	$1,245.72	$1,245.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.30 / $1,245.72 / $1,744.01	Facility		$772.30	$1,245.72	$1,744.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.00 / $2,634.65 / $4,866.56	Professional		$1,341.00	$2,634.65	$4,866.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $992.14 / $1,245.72 / $1,744.01	Facility		$992.14	$1,245.72	$1,744.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.00 / $2,614.94 / $4,992.00	Professional		$1,341.00	$2,614.94	$4,992.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.78 / $2,269.98 / $2,736.32	Professional		$1,243.78	$2,269.98	$2,736.32