Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,820.00 / $9,774.00 / $14,552.94	Facility		$6,820.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.50 / $289.50 / $289.50	Professional		$289.50	$289.50	$289.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.99 / $413.99 / $413.99	Facility		$413.99	$413.99	$413.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.20 / $992.25 / $1,211.00	Professional		$588.20	$992.25	$1,211.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.99 / $413.99 / $413.99	Facility		$413.99	$413.99	$413.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.20 / $1,038.00 / $1,581.22	Professional		$588.20	$1,038.00	$1,581.22
United Facility/Professional Professional Modifier Low / Median / High Price $367.17 / $625.38 / $938.07	Professional		$367.17	$625.38	$938.07