Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,595.87	Facility		$2,511.89	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $537.03 / $676.08	Professional		$223.87	$537.03	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $891.25 / $1,258.93	Facility		$199.53	$891.25	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $741.31 / $870.96	Professional		$223.87	$741.31	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $3,715.35	Professional		$1,737.80	$3,090.30	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $891.25 / $1,258.93	Facility		$512.86	$891.25	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,691.53 / $3,467.37	Professional		$741.31	$2,691.53	$3,467.37