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 $235.35 / $417.96 / $417.96	Professional		$235.35	$417.96	$417.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.03 / $417.96 / $585.14	Facility		$233.03	$417.96	$585.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $1,134.00 / $1,512.00	Professional		$756.00	$1,134.00	$1,512.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $417.96 / $585.14	Facility		$264.92	$417.96	$585.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $1,134.00 / $1,727.46	Professional		$756.00	$1,134.00	$1,727.46
United Facility/Professional Professional Modifier Low / Median / High Price $683.32 / $1,030.85 / $1,554.55	Professional		$683.32	$1,030.85	$1,554.55