Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $350.48 / $375.80	Professional		$173.52	$350.48	$375.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.98 / $350.48 / $501.19	Facility		$271.98	$350.48	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $1,493.00 / $2,911.35	Professional		$1,045.00	$1,493.00	$2,911.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.98 / $350.48 / $501.19	Facility		$271.98	$350.48	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $2,239.50 / $2,986.00	Professional		$1,045.00	$2,239.50	$2,986.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.16 / $1,348.40 / $3,236.16	Professional		$719.16	$1,348.40	$3,236.16