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 $156.63 / $156.63 / $156.63	Professional		$156.63	$156.63	$156.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $184.37 / $219.28	Facility		$111.18	$184.37	$219.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.70 / $778.05 / $3,596.00	Professional		$542.70	$778.05	$3,596.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $184.37 / $219.28	Facility		$111.18	$184.37	$219.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $598.50 / $798.00	Professional		$133.41	$598.50	$798.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $553.65 / $848.93	Professional		$369.10	$553.65	$848.93