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 $697.53 / $697.53 / $697.53	Professional		$697.53	$697.53	$697.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.53 / $976.54 / $997.47	Facility		$697.53	$976.54	$997.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,340.33 / $2,247.75 / $2,698.50	Professional		$1,340.33	$2,247.75	$2,698.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.53 / $976.54 / $997.47	Facility		$697.53	$976.54	$997.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,439.20 / $2,338.69 / $4,281.62	Professional		$1,439.20	$2,338.69	$4,281.62
United Facility/Professional Professional Modifier Low / Median / High Price $683.24 / $1,625.18 / $2,451.75	Professional		$683.24	$1,625.18	$2,451.75