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 $424.34 / $424.34 / $424.34	Professional		$424.34	$424.34	$424.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $424.34 / $594.08 / $606.80	Facility		$424.34	$594.08	$606.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,368.75 / $1,521.00 / $1,884.00	Professional		$1,368.75	$1,521.00	$1,884.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.34 / $594.08 / $606.80	Facility		$424.34	$594.08	$606.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.75 / $1,521.00 / $2,241.96	Professional		$1,368.75	$1,521.00	$2,241.96
United Facility/Professional Professional Modifier Low / Median / High Price $853.46 / $853.84 / $1,962.96	Professional		$853.46	$853.84	$1,962.96