Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,587.92 / $15,267.00 / $20,595.00	Facility		$5,587.92	$15,267.00	$20,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.36 / $476.36 / $476.36	Professional		$476.36	$476.36	$476.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.26 / $476.36 / $681.19	Facility		$245.26	$476.36	$681.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.50 / $803.30 / $1,106.00	Professional		$692.50	$803.30	$1,106.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.26 / $476.36 / $681.19	Facility		$245.26	$476.36	$681.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $688.75 / $829.50 / $1,316.14	Professional		$688.75	$829.50	$1,316.14
United Facility/Professional Professional Modifier Low / Median / High Price $551.26 / $552.32 / $998.93	Professional		$551.26	$552.32	$998.93