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 $653.42 / $653.42 / $653.42	Professional		$653.42	$653.42	$653.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $653.42 / $914.80 / $934.40	Facility		$653.42	$914.80	$934.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,777.50 / $2,106.00 / $2,948.00	Professional		$1,777.50	$2,106.00	$2,948.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.42 / $914.80 / $934.40	Facility		$653.42	$914.80	$934.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $3,508.12	Professional		$1,950.00	$2,340.00	$3,508.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.02 / $2,004.45 / $3,072.85	Professional		$1,336.02	$2,004.45	$3,072.85