Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $13,413.92 / $16,713.96	Facility		$9,285.00	$13,413.92	$16,713.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.67 / $553.67 / $553.67	Professional		$553.67	$553.67	$553.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $553.67 / $775.15 / $794.23	Facility		$553.67	$775.15	$794.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.75 / $1,918.35 / $2,512.00	Professional		$1,653.75	$1,918.35	$2,512.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.67 / $775.15 / $794.23	Facility		$553.67	$775.15	$794.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $533.24 / $1,884.00 / $2,989.28	Professional		$533.24	$1,884.00	$2,989.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.54 / $1,706.31 / $2,618.60	Professional		$1,137.54	$1,706.31	$2,618.60