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 $58.98 / $94.77 / $94.77	Professional		$58.98	$94.77	$94.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $94.77 / $132.68	Facility		$58.98	$94.77	$132.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $325.75 / $442.65	Professional		$227.00	$325.75	$442.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $94.77 / $132.68	Facility		$79.53	$94.77	$132.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $340.50 / $518.70	Professional		$227.00	$340.50	$518.70
United Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $309.51 / $466.74	Professional		$194.19	$309.51	$466.74