Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $13,413.92 / $20,143.00	Facility		$9,285.00	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.31 / $463.31 / $463.31	Professional		$463.31	$463.31	$463.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.31 / $648.63 / $662.53	Facility		$463.31	$648.63	$662.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.50 / $1,576.50 / $2,102.00	Professional		$1,382.50	$1,576.50	$2,102.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.31 / $648.63 / $662.53	Facility		$463.31	$648.63	$662.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,383.75 / $1,576.50 / $2,501.38	Professional		$1,383.75	$1,576.50	$2,501.38
United Facility/Professional Professional Modifier Low / Median / High Price $949.90 / $1,424.85 / $2,186.42	Professional		$949.90	$1,424.85	$2,186.42