Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $9,285.00 / $14,552.94	Facility		$2,464.00	$9,285.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $250.52 / $250.52	Professional		$155.08	$250.52	$250.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.53 / $250.52 / $350.73	Facility		$209.53	$250.52	$350.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $862.65 / $1,140.61	Professional		$565.00	$862.65	$1,140.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.53 / $250.52 / $350.73	Facility		$209.53	$250.52	$350.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.20 / $856.70 / $1,186.50	Professional		$384.20	$856.70	$1,186.50
United Facility/Professional Professional Modifier Low / Median / High Price $465.78 / $815.12 / $1,024.72	Professional		$465.78	$815.12	$1,024.72