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 $89.50 / $126.41 / $126.41	Professional		$89.50	$126.41	$126.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $126.41 / $176.97	Facility		$89.50	$126.41	$176.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $204.15 / $286.26	Professional		$158.50	$204.15	$286.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $274.01 / $427.75	Professional		$158.59	$274.01	$427.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $126.41 / $176.97	Facility		$89.50	$126.41	$176.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $295.50 / $485.10	Professional		$149.97	$295.50	$485.10
United Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $277.82 / $419.12	Professional		$115.14	$277.82	$419.12