Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.84 / $231.84 / $231.84	Professional		$231.84	$231.84	$231.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.84 / $324.58 / $331.53	Facility		$231.84	$324.58	$331.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.80 / $764.10 / $990.35	Professional		$452.80	$764.10	$990.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.84 / $324.58 / $331.53	Facility		$231.84	$324.58	$331.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $680.40 / $1,347.08	Professional		$20.64	$680.40	$1,347.08
United Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $62.18 / $442.64	Professional		$62.18	$62.18	$442.64