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 $490.43 / $490.43 / $490.43	Professional		$490.43	$490.43	$490.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.43 / $686.60 / $701.31	Facility		$490.43	$686.60	$701.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.50 / $1,609.50 / $2,338.00	Professional		$1,387.50	$1,609.50	$2,338.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.43 / $686.60 / $701.31	Facility		$490.43	$686.60	$701.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,753.50 / $2,782.22	Professional		$1,462.50	$1,753.50	$2,782.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.42 / $1,586.13 / $2,433.94	Professional		$1,057.42	$1,586.13	$2,433.94