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 $19.05 / $57.54 / $72.44	Professional		$19.05	$57.54	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $72.44 / $102.33	Facility		$14.13	$72.44	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $57.54 / $83.18	Professional		$7.94	$57.54	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $295.12 / $478.63	Professional		$104.71	$295.12	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $72.44 / $104.71	Facility		$14.13	$72.44	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $123.03	Professional		$28.18	$48.98	$123.03