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 $297.47 / $297.47 / $297.47	Professional		$297.47	$297.47	$297.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $416.46 / $425.38	Facility		$297.47	$416.46	$425.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.50 / $1,063.50 / $1,342.00	Professional		$932.50	$1,063.50	$1,342.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $416.46 / $425.38	Facility		$297.47	$416.46	$425.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.75 / $1,063.50 / $1,596.98	Professional		$933.75	$1,063.50	$1,596.98
United Facility/Professional Professional Modifier Low / Median / High Price $608.20 / $608.70 / $1,400.01	Professional		$608.20	$608.70	$1,400.01