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 $130.47 / $130.47 / $130.47	Professional		$130.47	$130.47	$130.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $186.59 / $186.59	Facility		$186.59	$186.59	$186.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.75 / $469.80 / $636.84	Professional		$398.75	$469.80	$636.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $186.59 / $186.59	Facility		$186.59	$186.59	$186.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.80 / $478.50 / $759.22	Professional		$382.80	$478.50	$759.22
United Facility/Professional Professional Modifier Low / Median / High Price $169.79 / $280.83 / $421.95	Professional		$169.79	$280.83	$421.95