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 $33.19 / $119.41 / $180.55	Professional		$33.19	$119.41	$180.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.41 / $130.66 / $170.76	Facility		$119.41	$130.66	$170.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.75 / $918.90 / $1,990.95	Professional		$173.75	$918.90	$1,990.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.41 / $130.66 / $338.22	Facility		$119.41	$130.66	$338.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $1,531.50 / $2,042.00	Professional		$282.14	$1,531.50	$2,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $922.02 / $2,543.23	Professional		$137.47	$922.02	$2,543.23