Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.92 / $248.92 / $248.92	Professional		$248.92	$248.92	$248.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.96 / $355.96 / $355.96	Facility		$355.96	$355.96	$355.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $712.80 / $872.91	Professional		$580.54	$712.80	$872.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.96 / $355.96 / $355.96	Facility		$355.96	$355.96	$355.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $1,004.85 / $1,560.66	Professional		$580.54	$1,004.85	$1,560.66
United Facility/Professional Professional Modifier Low / Median / High Price $362.94 / $602.17 / $908.45	Professional		$362.94	$602.17	$908.45