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 $158.97 / $256.01 / $256.01	Professional		$158.97	$256.01	$256.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.01 / $256.01 / $358.41	Facility		$217.01	$256.01	$358.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $1,131.76 / $1,419.55	Professional		$658.00	$1,131.76	$1,419.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.61 / $256.01 / $358.41	Facility		$217.61	$256.01	$358.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $987.00 / $1,503.53	Professional		$658.00	$987.00	$1,503.53
United Facility/Professional Professional Modifier Low / Median / High Price $593.70 / $899.73 / $1,356.81	Professional		$593.70	$899.73	$1,356.81