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 $253.88 / $439.27 / $513.11	Professional		$253.88	$439.27	$513.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.97 / $513.11 / $733.75	Facility		$317.97	$513.11	$733.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,077.11 / $1,653.75 / $2,386.80	Professional		$1,077.11	$1,653.75	$2,386.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.97 / $513.11 / $733.75	Facility		$317.97	$513.11	$733.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,127.92 / $1,836.00 / $2,448.00	Professional		$1,127.92	$1,836.00	$2,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.43 / $1,107.08 / $3,318.72	Professional		$924.43	$1,107.08	$3,318.72