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 $76.37 / $123.14 / $123.14	Professional		$76.37	$123.14	$123.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.37 / $123.14 / $172.40	Facility		$76.37	$123.14	$172.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $425.25 / $560.49	Professional		$272.00	$425.25	$560.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $123.14 / $172.40	Facility		$102.70	$123.14	$172.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $415.50 / $573.29	Professional		$108.08	$415.50	$573.29
United Facility/Professional Professional Modifier Low / Median / High Price $242.38 / $365.66 / $551.41	Professional		$242.38	$365.66	$551.41