Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $247.23 / $319.86	Professional		$186.53	$247.23	$319.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.23 / $346.12 / $353.54	Facility		$247.23	$346.12	$353.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $158.27 / $226.10	Professional		$158.27	$158.27	$226.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $494.00 / $495.00	Professional		$405.00	$494.00	$495.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.23 / $346.12 / $353.54	Facility		$247.23	$346.12	$353.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $494.00 / $2,250,000.00	Professional		$158.27	$494.00	$2,250,000.00