Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,022.64 / $16,595.87	Facility		$9,772.37	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $426.58	Professional		$213.80	$302.00	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $478.63 / $691.83	Facility		$213.80	$478.63	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $478.63	Professional		$213.80	$302.00	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,698.24	Professional		$794.33	$1,412.54	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $676.08	Facility		$223.87	$380.19	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $707.95 / $1,258.93	Professional		$323.59	$707.95	$1,258.93