Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,893.00 / $9,687.67 / $14,552.94	Facility		$8,893.00	$9,687.67	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.87 / $542.87 / $542.87	Professional		$542.87	$542.87	$542.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.23 / $542.87 / $776.30	Facility		$541.23	$542.87	$776.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,879.20 / $3,552.00	Professional		$1,620.00	$1,879.20	$3,552.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.23 / $542.87 / $776.30	Facility		$541.23	$542.87	$776.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.48 / $2,664.00 / $4,226.88	Professional		$649.48	$2,664.00	$4,226.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,606.14 / $1,606.14 / $3,696.93	Professional		$1,606.14	$1,606.14	$3,696.93