Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.31 / $442.03 / $442.03	Professional		$274.31	$442.03	$442.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.31 / $442.03 / $618.84	Facility		$274.31	$442.03	$618.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.00 / $1,513.93 / $2,057.25	Professional		$1,055.00	$1,513.93	$2,057.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.65 / $442.03 / $618.84	Facility		$366.65	$442.03	$618.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,055.00 / $1,582.50 / $2,410.67	Professional		$1,055.00	$1,582.50	$2,410.67
United Facility/Professional Professional Modifier Low / Median / High Price $953.18 / $1,668.07 / $2,097.00	Professional		$953.18	$1,668.07	$2,097.00