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 $189.93 / $311.87 / $363.93	Professional		$189.93	$311.87	$363.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $363.93 / $509.50	Facility		$162.16	$363.93	$509.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.72 / $1,236.59 / $1,694.55	Professional		$764.72	$1,236.59	$1,694.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $363.93 / $509.50	Facility		$162.16	$363.93	$509.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $1,086.25 / $1,738.00	Professional		$182.41	$1,086.25	$1,738.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.10 / $787.03 / $2,164.08	Professional		$461.10	$787.03	$2,164.08