Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.93 / $178.93 / $178.93	Professional		$178.93	$178.93	$178.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $255.87 / $255.87	Facility		$255.87	$255.87	$255.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $575.10 / $781.41	Professional		$532.50	$575.10	$781.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $255.87 / $255.87	Facility		$255.87	$255.87	$255.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $639.00 / $1,013.88	Professional		$511.20	$639.00	$1,013.88
United Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $385.32 / $581.29	Professional		$226.56	$385.32	$581.29