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 $595.29 / $595.29 / $595.29	Professional		$595.29	$595.29	$595.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.29 / $833.42 / $851.28	Facility		$595.29	$833.42	$851.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $2,059.00 / $2,672.00	Professional		$1,775.00	$2,059.00	$2,672.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.29 / $833.42 / $851.28	Facility		$595.29	$833.42	$851.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,776.25 / $2,130.00 / $3,179.68	Professional		$1,776.25	$2,130.00	$3,179.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.83 / $1,817.76 / $2,789.62	Professional		$1,211.83	$1,817.76	$2,789.62