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 $114.80 / $114.80 / $114.80	Professional		$114.80	$114.80	$114.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $160.72 / $164.16	Facility		$114.80	$160.72	$164.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $316.50 / $419.05	Professional		$199.34	$316.50	$419.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $160.72 / $164.16	Facility		$114.80	$160.72	$164.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $274.30 / $482.14	Professional		$72.13	$274.30	$482.14
United Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $187.24 / $282.47	Professional		$80.18	$187.24	$282.47