Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $4,806.00 / $13,413.92	Facility		$360.17	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $167.52 / $167.52	Professional		$134.43	$167.52	$167.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $167.52 / $239.55	Facility		$142.38	$167.52	$239.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.75 / $752.13 / $1,470.30	Professional		$513.75	$752.13	$1,470.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $167.52 / $239.55	Facility		$142.38	$167.52	$239.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.75 / $1,131.00 / $1,722.89	Professional		$513.75	$1,131.00	$1,722.89
United Facility/Professional Professional Modifier Low / Median / High Price $663.74 / $663.74 / $995.61	Professional		$663.74	$663.74	$995.61