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 $275.67 / $275.67 / $275.67	Professional		$275.67	$275.67	$275.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.67 / $385.94 / $394.21	Facility		$275.67	$385.94	$394.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $947.70 / $1,244.00	Professional		$815.00	$947.70	$1,244.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.67 / $385.94 / $394.21	Facility		$275.67	$385.94	$394.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.50 / $987.00 / $1,480.36	Professional		$877.50	$987.00	$1,480.36
United Facility/Professional Professional Modifier Low / Median / High Price $563.98 / $564.44 / $1,298.21	Professional		$563.98	$564.44	$1,298.21