Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.97 / $641.37 / $641.37	Professional		$397.97	$641.37	$641.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.24 / $641.37 / $897.92	Facility		$537.24	$641.37	$897.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,532.00 / $2,198.42 / $2,995.09	Professional		$1,532.00	$2,198.42	$2,995.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.24 / $641.37 / $897.92	Facility		$537.24	$641.37	$897.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,532.00 / $2,298.00 / $3,500.62	Professional		$1,532.00	$2,298.00	$3,500.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.40 / $2,424.44 / $3,047.88	Professional		$1,385.40	$2,424.44	$3,047.88