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 $752.58 / $1,134.65 / $1,134.65	Professional		$752.58	$1,134.65	$1,134.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $752.58 / $1,134.65 / $1,588.51	Facility		$752.58	$1,134.65	$1,588.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $2,448.00 / $4,874.70	Professional		$1,224.00	$2,448.00	$4,874.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.01 / $1,134.65 / $1,588.51	Facility		$996.01	$1,134.65	$1,588.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $2,386.80 / $5,095.50	Professional		$1,224.00	$2,386.80	$5,095.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.06 / $2,230.12 / $2,453.13	Professional		$1,115.06	$2,230.12	$2,453.13