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 $503.89 / $503.89 / $503.89	Professional		$503.89	$503.89	$503.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.89 / $705.45 / $720.56	Facility		$503.89	$705.45	$720.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,630.00 / $1,760.40 / $1,890.80	Professional		$1,630.00	$1,760.40	$1,890.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.89 / $705.45 / $720.56	Facility		$503.89	$705.45	$720.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.00 / $1,754.69 / $2,170.56	Professional		$1,368.00	$1,754.69	$2,170.56
United Facility/Professional Professional Modifier Low / Median / High Price $826.76 / $1,240.14 / $1,902.47	Professional		$826.76	$1,240.14	$1,902.47