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 $316.62 / $316.62 / $316.62	Professional		$316.62	$316.62	$316.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.62 / $443.27 / $452.77	Facility		$316.62	$443.27	$452.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.00 / $1,096.20 / $4,062.00	Professional		$945.00	$1,096.20	$4,062.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.62 / $443.27 / $452.77	Facility		$316.62	$443.27	$452.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.00 / $3,046.50 / $4,833.78	Professional		$945.00	$3,046.50	$4,833.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.18 / $1,837.90 / $3,964.69	Professional		$1,078.18	$1,837.90	$3,964.69