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 $89.13 / $100.00 / $120.23	Professional		$89.13	$100.00	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $173.78	Facility		$72.44	$104.71	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $123.03	Professional		$75.86	$102.33	$123.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $562.34	Professional		$269.15	$426.58	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $177.83	Facility		$72.44	$102.33	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $602.56	Professional		$102.33	$239.88	$602.56