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 $447.72 / $447.72 / $447.72	Professional		$447.72	$447.72	$447.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.72 / $626.80 / $640.24	Facility		$447.72	$626.80	$640.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.50 / $1,537.65 / $2,032.00	Professional		$1,317.50	$1,537.65	$2,032.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.72 / $626.80 / $640.24	Facility		$447.72	$626.80	$640.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,423.75 / $1,603.50 / $2,418.08	Professional		$1,423.75	$1,603.50	$2,418.08
United Facility/Professional Professional Modifier Low / Median / High Price $921.16 / $921.94 / $2,120.46	Professional		$921.16	$921.94	$2,120.46