Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.10 / $1,620.33 / $2,972.14	Facility		$486.10	$1,620.33	$2,972.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.95 / $462.95 / $462.95	Professional		$462.95	$462.95	$462.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $43.07 / $662.02	Facility		$43.07	$43.07	$662.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $510.30 / $5,356.42	Professional		$160.00	$510.30	$5,356.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.95 / $634.24 / $662.02	Facility		$462.95	$634.24	$662.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.50 / $4,176.00 / $5,568.00	Professional		$472.50	$4,176.00	$5,568.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,477.19 / $2,479.44 / $3,719.94	Professional		$1,477.19	$2,479.44	$3,719.94