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 $219.88 / $749.38 / $1,413.49	Professional		$219.88	$749.38	$1,413.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.43 / $314.43 / $314.43	Facility		$314.43	$314.43	$314.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $1,260.00 / $1,844.64	Professional		$162.50	$1,260.00	$1,844.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.43 / $314.43 / $314.43	Facility		$314.43	$314.43	$314.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $297.05 / $967.50	Professional		$162.50	$297.05	$967.50
United Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $93.22 / $177.59	Professional		$62.69	$93.22	$177.59