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 $57.68 / $57.68 / $57.68	Professional		$57.68	$57.68	$57.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $80.75 / $82.48	Facility		$57.68	$80.75	$82.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $235.00 / $282.00	Professional		$113.51	$235.00	$282.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $80.75 / $82.48	Facility		$57.68	$80.75	$82.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $232.65 / $447.44	Professional		$19.13	$232.65	$447.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $31.92 / $48.15	Professional		$13.69	$31.92	$48.15