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 $70.39 / $113.92 / $113.92	Professional		$70.39	$113.92	$113.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.39 / $113.92 / $159.49	Facility		$70.39	$113.92	$159.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $392.85 / $519.44	Professional		$251.00	$392.85	$519.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.35 / $113.92 / $159.49	Facility		$95.35	$113.92	$159.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $385.50 / $528.45	Professional		$94.12	$385.50	$528.45
United Facility/Professional Professional Modifier Low / Median / High Price $221.56 / $334.25 / $553.90	Professional		$221.56	$334.25	$553.90