Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.39 / $405.39 / $405.39	Professional		$405.39	$405.39	$405.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.39 / $567.54 / $579.71	Facility		$405.39	$567.54	$579.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,210.00 / $1,403.60 / $1,936.00	Professional		$1,210.00	$1,403.60	$1,936.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.39 / $567.54 / $579.71	Facility		$405.39	$567.54	$579.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,211.25 / $1,597.20 / $2,303.84	Professional		$1,211.25	$1,597.20	$2,303.84
United Facility/Professional Professional Modifier Low / Median / High Price $831.70 / $875.10 / $2,014.25	Professional		$831.70	$875.10	$2,014.25