Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.50 / $480.50 / $480.50	Professional		$480.50	$480.50	$480.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.50 / $672.70 / $687.12	Facility		$480.50	$672.70	$687.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.40 / $1,722.00 / $2,450.50	Professional		$918.40	$1,722.00	$2,450.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.50 / $672.70 / $687.12	Facility		$480.50	$672.70	$687.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $918.40 / $1,722.00 / $2,732.24	Professional		$918.40	$1,722.00	$2,732.24
United Facility/Professional Professional Modifier Low / Median / High Price $436.24 / $1,037.30 / $2,074.60	Professional		$436.24	$1,037.30	$2,074.60