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 $71.18 / $114.80 / $114.80	Professional		$71.18	$114.80	$114.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.18 / $114.80 / $160.72	Facility		$71.18	$114.80	$160.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $393.19 / $508.95	Professional		$261.00	$393.19	$508.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.48 / $114.80 / $160.72	Facility		$91.48	$114.80	$160.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $411.00 / $596.39	Professional		$261.00	$411.00	$596.39
United Facility/Professional Professional Modifier Low / Median / High Price $236.50 / $413.88 / $520.29	Professional		$236.50	$413.88	$520.29