Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,772.37 / $15,848.93	Facility		$2,511.89	$9,772.37	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $380.19	Professional		$154.88	$204.17	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $251.19 / $14,125.38	Facility		$89.13	$251.19	$14,125.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $398.11	Professional		$154.88	$251.19	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,148.15	Professional		$562.34	$870.96	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $389.05	Facility		$154.88	$269.15	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $794.33 / $1,023.29	Professional		$181.97	$794.33	$1,023.29