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 $96.61 / $96.61 / $96.61	Professional		$96.61	$96.61	$96.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $96.61 / $135.25	Facility		$53.40	$96.61	$135.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $156.60 / $216.05	Professional		$96.00	$156.60	$216.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $96.61 / $135.25	Facility		$53.40	$96.61	$135.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $105.60 / $145.00	Professional		$50.98	$105.60	$145.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $86.91 / $133.35	Professional		$57.94	$86.91	$133.35