Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.89 / $475.89 / $475.89	Professional		$475.89	$475.89	$475.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.02 / $475.89 / $680.52	Facility		$438.02	$475.89	$680.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.50 / $1,528.30 / $2,566.00	Professional		$1,317.50	$1,528.30	$2,566.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.02 / $475.89 / $680.52	Facility		$438.02	$475.89	$680.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.62 / $1,924.50 / $3,053.54	Professional		$525.62	$1,924.50	$3,053.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.40 / $1,740.60 / $2,670.99	Professional		$1,160.40	$1,740.60	$2,670.99