Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $15,135.61	Facility		$4,677.35	$6,918.31	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $194.98	Professional		$100.00	$162.18	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $6,918.31	Facility		$131.83	$213.80	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $309.03	Professional		$165.96	$213.80	$309.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $933.25	Professional		$478.63	$691.83	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $309.03	Facility		$128.82	$194.98	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $707.95 / $912.01	Professional		$181.97	$707.95	$912.01