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 $330.95 / $330.95 / $330.95	Professional		$330.95	$330.95	$330.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.95 / $463.33 / $473.26	Facility		$330.95	$463.33	$473.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,183.50 / $1,578.00	Professional		$1,050.00	$1,183.50	$1,578.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.95 / $463.33 / $473.26	Facility		$330.95	$463.33	$473.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,048.75 / $1,303.50 / $1,877.82	Professional		$1,048.75	$1,303.50	$1,877.82
United Facility/Professional Professional Modifier Low / Median / High Price $678.77 / $1,077.42 / $1,643.86	Professional		$678.77	$1,077.42	$1,643.86