Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $147.88 / $172.05	Professional		$85.25	$147.88	$172.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.02 / $188.85 / $246.03	Facility		$107.02	$188.85	$246.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.68 / $589.95 / $801.45	Professional		$361.68	$589.95	$801.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.02 / $188.85 / $246.03	Facility		$107.02	$188.85	$246.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $546.25 / $822.00	Professional		$172.87	$546.25	$822.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,609.06 / $7,609.06 / $7,609.06	Facility		$7,609.06	$7,609.06	$7,609.06
United Facility/Professional Professional Modifier Low / Median / High Price $349.76 / $372.22 / $1,115.64	Professional		$349.76	$372.22	$1,115.64