Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.95 / $469.52 / $469.52	Professional		$290.95	$469.52	$469.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.54 / $469.52 / $657.33	Facility		$392.54	$469.52	$657.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,926.40 / $2,341.17	Professional		$1,120.00	$1,926.40	$2,341.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.54 / $469.52 / $657.33	Facility		$392.54	$469.52	$657.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,680.00 / $2,559.19	Professional		$1,120.00	$1,680.00	$2,559.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.10 / $1,771.18 / $2,226.62	Professional		$1,012.10	$1,771.18	$2,226.62