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 $270.86 / $468.68 / $547.48	Professional		$270.86	$468.68	$547.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.27 / $547.48 / $782.90	Facility		$339.27	$547.48	$782.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.28 / $1,764.45 / $2,546.69	Professional		$1,149.28	$1,764.45	$2,546.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.27 / $547.48 / $782.90	Facility		$339.27	$547.48	$782.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,203.48 / $1,959.00 / $2,612.00	Professional		$1,203.48	$1,959.00	$2,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.49 / $1,181.33 / $3,258.54	Professional		$986.49	$1,181.33	$3,258.54