Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $316.62 / $316.62	Professional		$196.38	$316.62	$316.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.38 / $316.62 / $443.27	Facility		$196.38	$316.62	$443.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $1,084.85 / $1,474.20	Professional		$756.00	$1,084.85	$1,474.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $316.62 / $443.27	Facility		$264.92	$316.62	$443.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $1,134.00 / $1,727.46	Professional		$756.00	$1,134.00	$1,727.46
United Facility/Professional Professional Modifier Low / Median / High Price $649.55 / $683.84 / $1,554.55	Professional		$649.55	$683.84	$1,554.55