Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,929.95 / $15,114.15	Facility		$4,473.04	$6,929.95	$15,114.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.74 / $214.39 / $214.39	Professional		$132.74	$214.39	$214.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.76 / $214.39 / $300.14	Facility		$178.76	$214.39	$300.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $733.29 / $941.26	Professional		$477.00	$733.29	$941.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.76 / $214.39 / $300.14	Facility		$178.76	$214.39	$300.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.87 / $724.50 / $1,001.70	Professional		$182.87	$724.50	$1,001.70
United Facility/Professional Professional Modifier Low / Median / High Price $415.12 / $726.46 / $913.26	Professional		$415.12	$726.46	$913.26