Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $10,900.00 / $16,713.96	Facility		$5,328.00	$10,900.00	$16,713.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.03 / $408.03 / $408.03	Professional		$408.03	$408.03	$408.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.20 / $408.03 / $583.48	Facility		$380.20	$408.03	$583.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.25 / $1,410.85 / $1,946.00	Professional		$1,216.25	$1,410.85	$1,946.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.20 / $408.03 / $583.48	Facility		$380.20	$408.03	$583.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.50 / $1,459.50 / $2,315.73	Professional		$1,217.50	$1,459.50	$2,315.73
United Facility/Professional Professional Modifier Low / Median / High Price $880.16 / $1,320.24 / $2,025.93	Professional		$880.16	$1,320.24	$2,025.93