Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.64 / $637.64 / $637.64	Professional		$637.64	$637.64	$637.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.64 / $892.70 / $911.83	Facility		$637.64	$892.70	$911.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.75 / $2,086.55 / $3,046.00	Professional		$1,798.75	$2,086.55	$3,046.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.64 / $892.70 / $911.83	Facility		$637.64	$892.70	$911.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.00 / $2,284.50 / $3,624.74	Professional		$1,905.00	$2,284.50	$3,624.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.28 / $2,064.42 / $3,167.88	Professional		$1,376.28	$2,064.42	$3,167.88