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 $69.09 / $116.77 / $116.77	Professional		$69.09	$116.77	$116.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $116.77 / $163.47	Facility		$69.09	$116.77	$163.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $381.71 / $499.80	Professional		$246.00	$381.71	$499.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $116.77 / $163.47	Facility		$93.18	$116.77	$163.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $379.50 / $518.70	Professional		$92.57	$379.50	$518.70
United Facility/Professional Professional Modifier Low / Median / High Price $219.08 / $330.51 / $498.41	Professional		$219.08	$330.51	$498.41