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 $338.60 / $338.60 / $338.60	Professional		$338.60	$338.60	$338.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.20 / $484.20 / $484.20	Facility		$484.20	$484.20	$484.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.55 / $1,119.15 / $1,515.24	Professional		$1,005.55	$1,119.15	$1,515.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.20 / $484.20 / $484.20	Facility		$484.20	$484.20	$484.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.60 / $1,478.75 / $2,703.16	Professional		$993.60	$1,478.75	$2,703.16
United Facility/Professional Professional Modifier Low / Median / High Price $627.70 / $1,041.32 / $1,570.94	Professional		$627.70	$1,041.32	$1,570.94