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 $421.49 / $421.49 / $421.49	Professional		$421.49	$421.49	$421.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.73 / $602.73 / $602.73	Facility		$602.73	$602.73	$602.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.55 / $1,358.10 / $1,580.25	Professional		$767.55	$1,358.10	$1,580.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.73 / $602.73 / $602.73	Facility		$602.73	$602.73	$602.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.55 / $1,354.50 / $2,063.36	Professional		$767.55	$1,354.50	$2,063.36
United Facility/Professional Professional Modifier Low / Median / High Price $474.89 / $818.44 / $2,478.37	Professional		$474.89	$818.44	$2,478.37