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 $212.42 / $212.42 / $212.42	Professional		$212.42	$212.42	$212.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $297.39 / $303.76	Facility		$212.42	$297.39	$303.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $685.80 / $846.00	Professional		$408.94	$685.80	$846.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $297.39 / $303.76	Facility		$212.42	$297.39	$303.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.20 / $733.20 / $1,342.32	Professional		$451.20	$733.20	$1,342.32
United Facility/Professional Professional Modifier Low / Median / High Price $214.32 / $509.84 / $769.15	Professional		$214.32	$509.84	$769.15