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 $523.91 / $523.91 / $523.91	Professional		$523.91	$523.91	$523.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $523.91 / $733.49 / $749.21	Facility		$523.91	$733.49	$749.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,562.50 / $1,812.50 / $2,348.00	Professional		$1,562.50	$1,812.50	$2,348.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.91 / $733.49 / $749.21	Facility		$523.91	$733.49	$749.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,562.50 / $1,875.00 / $2,794.12	Professional		$1,562.50	$1,875.00	$2,794.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.06 / $1,596.09 / $2,449.44	Professional		$1,064.06	$1,596.09	$2,449.44