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 $283.68 / $457.82 / $457.82	Professional		$283.68	$457.82	$457.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.68 / $457.82 / $640.95	Facility		$367.68	$457.82	$640.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,567.02 / $2,136.71	Professional		$1,092.00	$1,567.02	$2,136.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.72 / $457.82 / $640.95	Facility		$382.72	$457.82	$640.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,638.00 / $2,495.21	Professional		$1,092.00	$1,638.00	$2,495.21
United Facility/Professional Professional Modifier Low / Median / High Price $987.18 / $1,489.26 / $2,467.94	Professional		$987.18	$1,489.26	$2,467.94