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 $2,236.00 / $13,413.92 / $19,373.20	Professional		$2,236.00	$13,413.92	$19,373.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.76 / $740.98 / $1,059.59	Facility		$376.76	$740.98	$1,059.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.75 / $1,233.95 / $1,744.00	Professional		$1,063.75	$1,233.95	$1,744.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.76 / $740.98 / $1,059.59	Facility		$376.76	$740.98	$1,059.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.25 / $1,308.00 / $2,075.36	Professional		$1,046.25	$1,308.00	$2,075.36
United Facility/Professional Professional Modifier Low / Median / High Price $861.58 / $862.98 / $1,560.79	Professional		$861.58	$862.98	$1,560.79