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 $14.37 / $14.37 / $14.37	Professional		$14.37	$14.37	$14.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $20.12 / $20.55	Facility		$14.37	$20.12	$20.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $35.00 / $65.00	Professional		$23.35	$35.00	$65.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $20.12 / $20.55	Facility		$14.37	$20.12	$20.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $57.75 / $119.00	Professional		$9.85	$57.75	$119.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $16.44 / $24.66	Professional		$6.93	$16.44	$24.66