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 / $20,143.00	Facility		$9,285.00	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.65 / $730.65 / $730.65	Professional		$730.65	$730.65	$730.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.65 / $1,022.91 / $1,152.94	Facility		$730.65	$1,022.91	$1,152.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,505.60 / $2,753.75 / $3,322.00	Professional		$2,505.60	$2,753.75	$3,322.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.65 / $1,022.91 / $1,152.94	Facility		$730.65	$1,022.91	$1,152.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,383.53 / $2,491.50 / $3,953.18	Professional		$1,383.53	$2,491.50	$3,953.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,505.48 / $2,258.21 / $3,465.55	Professional		$1,505.48	$2,258.21	$3,465.55