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 $375.91 / $606.12 / $606.12	Professional		$375.91	$606.12	$606.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.44 / $606.12 / $848.57	Facility		$507.44	$606.12	$848.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.00 / $2,076.44 / $2,831.15	Professional		$1,447.00	$2,076.44	$2,831.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.44 / $606.12 / $848.57	Facility		$507.44	$606.12	$848.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,447.00 / $2,170.50 / $3,306.40	Professional		$1,447.00	$2,170.50	$3,306.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.42 / $2,289.73 / $2,878.52	Professional		$1,308.42	$2,289.73	$2,878.52