Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $95.77 / $95.77	Professional		$95.77	$95.77	$95.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $95.77 / $136.94	Facility		$64.09	$95.77	$136.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $468.00 / $8,613.00	Professional		$333.45	$468.00	$8,613.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $95.77 / $136.94	Facility		$62.28	$95.77	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.75 / $351.00 / $556.91	Professional		$308.75	$351.00	$556.91
United Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $309.77 / $474.26	Professional		$206.20	$309.77	$474.26