Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $72.42 / $72.42	Professional		$72.42	$72.42	$72.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $75.94 / $103.56	Facility		$72.42	$75.94	$103.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $298.35 / $385.70	Professional		$105.82	$298.35	$385.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $75.94 / $103.56	Facility		$72.42	$75.94	$103.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $105.82 / $276.25	Professional		$68.75	$105.82	$276.25
United Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $49.35 / $121.70	Professional		$41.38	$49.35	$121.70