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 $138.19 / $222.73 / $222.73	Professional		$138.19	$222.73	$222.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $222.73 / $311.82	Facility		$138.19	$222.73	$311.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $769.50 / $1,017.45	Professional		$493.00	$769.50	$1,017.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.11 / $222.73 / $311.82	Facility		$186.11	$222.73	$311.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $756.00 / $1,037.40	Professional		$158.47	$756.00	$1,037.40
United Facility/Professional Professional Modifier Low / Median / High Price $414.82 / $625.79 / $943.72	Professional		$414.82	$625.79	$943.72