Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,820.00 / $9,774.00 / $14,552.94	Facility		$6,820.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.27 / $603.27 / $603.27	Professional		$603.27	$603.27	$603.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $603.27 / $844.58 / $862.68	Facility		$603.27	$844.58	$862.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,946.25 / $2,160.00 / $2,880.00	Professional		$1,946.25	$2,160.00	$2,880.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.27 / $844.58 / $862.68	Facility		$603.27	$844.58	$862.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,946.25 / $2,160.00 / $3,427.20	Professional		$1,946.25	$2,160.00	$3,427.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.16 / $1,305.96 / $3,003.71	Professional		$1,305.16	$1,305.96	$3,003.71