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 $258.86 / $258.86 / $258.86	Professional		$258.86	$258.86	$258.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.36 / $283.47 / $362.40	Facility		$145.36	$283.47	$362.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.25 / $879.00 / $1,172.00	Professional		$826.25	$879.00	$1,172.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $286.95 / $362.40	Facility		$147.13	$286.95	$362.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.25 / $1,019.70 / $1,394.68	Professional		$771.25	$1,019.70	$1,394.68
United Facility/Professional Professional Modifier Low / Median / High Price $530.44 / $800.22 / $1,220.98	Professional		$530.44	$800.22	$1,220.98