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 $175.55 / $175.55 / $175.55	Professional		$175.55	$175.55	$175.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $175.55 / $251.04	Facility		$86.37	$175.55	$251.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.25 / $279.85 / $416.00	Professional		$241.25	$279.85	$416.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $175.55 / $251.04	Facility		$86.37	$175.55	$251.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $312.00 / $495.04	Professional		$243.75	$312.00	$495.04
United Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $204.94 / $370.66	Professional		$204.66	$204.94	$370.66