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 $155.35 / $250.89 / $250.89	Professional		$155.35	$250.89	$250.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.35 / $250.89 / $351.25	Facility		$155.35	$250.89	$351.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $858.13 / $1,126.33	Professional		$550.00	$858.13	$1,126.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.33 / $250.89 / $351.25	Facility		$197.33	$250.89	$351.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $846.00 / $1,166.09	Professional		$185.66	$846.00	$1,166.09
United Facility/Professional Professional Modifier Low / Median / High Price $467.90 / $705.88 / $1,064.47	Professional		$467.90	$705.88	$1,064.47