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 $202.11 / $349.90 / $349.90	Professional		$202.11	$349.90	$349.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $349.90 / $489.86	Facility		$272.66	$349.90	$489.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,127.25 / $1,606.80	Professional		$824.00	$1,127.25	$1,606.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $349.90 / $489.86	Facility		$272.66	$349.90	$489.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,168.50 / $1,882.84	Professional		$824.00	$1,168.50	$1,882.84
United Facility/Professional Professional Modifier Low / Median / High Price $706.08 / $1,235.64 / $1,553.38	Professional		$706.08	$1,235.64	$1,553.38