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 $372.78 / $372.78 / $372.78	Professional		$372.78	$372.78	$372.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.78 / $521.89 / $533.08	Facility		$372.78	$521.89	$533.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.10 / $910.00 / $1,201.50	Professional		$581.10	$910.00	$1,201.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.78 / $521.89 / $533.08	Facility		$372.78	$521.89	$533.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $623.00 / $1,443.00	Professional		$341.06	$623.00	$1,443.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $882.48 / $1,331.31	Professional		$243.02	$882.48	$1,331.31