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 $439.76 / $439.76 / $439.76	Professional		$439.76	$439.76	$439.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.29 / $439.76 / $628.86	Facility		$438.29	$439.76	$628.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.25 / $1,521.05 / $2,398.00	Professional		$1,311.25	$1,521.05	$2,398.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.29 / $439.76 / $628.86	Facility		$438.29	$439.76	$628.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.95 / $1,798.50 / $2,853.62	Professional		$525.95	$1,798.50	$2,853.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.42 / $1,625.13 / $2,493.80	Professional		$1,083.42	$1,625.13	$2,493.80