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 $337.41 / $667.94 / $955.15	Facility		$337.41	$667.94	$955.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.75 / $1,100.55 / $1,574.00	Professional		$948.75	$1,100.55	$1,574.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.41 / $667.94 / $955.15	Facility		$337.41	$667.94	$955.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $948.75 / $1,180.50 / $1,873.06	Professional		$948.75	$1,180.50	$1,873.06
United Facility/Professional Professional Modifier Low / Median / High Price $777.26 / $778.50 / $1,408.00	Professional		$777.26	$778.50	$1,408.00