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 $699.50 / $699.50 / $699.50	Professional		$699.50	$699.50	$699.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.50 / $979.30 / $1,000.29	Facility		$699.50	$979.30	$1,000.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,266.25 / $1,468.85 / $3,340.00	Professional		$1,266.25	$1,468.85	$3,340.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.50 / $979.30 / $1,000.29	Facility		$699.50	$979.30	$1,000.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,266.25 / $2,505.00 / $3,974.60	Professional		$1,266.25	$2,505.00	$3,974.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,509.32 / $2,263.98 / $3,474.06	Professional		$1,509.32	$2,263.98	$3,474.06