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 $327.23 / $327.23 / $327.23	Professional		$327.23	$327.23	$327.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.94 / $467.94 / $467.94	Facility		$467.94	$467.94	$467.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.85 / $1,054.34 / $1,366.75	Professional		$663.85	$1,054.34	$1,366.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.94 / $467.94 / $467.94	Facility		$467.94	$467.94	$467.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.85 / $1,171.50 / $1,784.59	Professional		$663.85	$1,171.50	$1,784.59
United Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $704.66 / $2,133.82	Professional		$414.40	$704.66	$2,133.82