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 $428.73 / $428.73 / $428.73	Professional		$428.73	$428.73	$428.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.73 / $600.22 / $613.08	Facility		$428.73	$600.22	$613.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.50 / $465.50 / $665.00	Professional		$465.50	$465.50	$665.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,282.00 / $2,403.00 / $2,403.00	Professional		$2,282.00	$2,403.00	$2,403.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.73 / $600.22 / $613.08	Facility		$428.73	$600.22	$613.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.50 / $2,403.00 / $2,250,000.00	Professional		$465.50	$2,403.00	$2,250,000.00