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 $91.20 / $100.00 / $120.23	Professional		$91.20	$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 $275.42 / $426.58 / $562.34	Professional		$275.42	$426.58	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $177.83	Facility		$72.44	$104.71	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $616.60	Professional		$104.71	$245.47	$616.60