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 $78.67 / $78.67 / $78.67	Professional		$78.67	$78.67	$78.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $110.14 / $112.50	Facility		$78.67	$110.14	$112.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $317.85 / $587.25	Professional		$252.45	$317.85	$587.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $110.14 / $112.50	Facility		$78.67	$110.14	$112.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $288.75 / $387.94	Professional		$233.75	$288.75	$387.94
United Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $149.66 / $260.99	Professional		$52.40	$149.66	$260.99