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 $162.18 / $181.97 / $204.17	Professional		$162.18	$181.97	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $309.03	Facility		$138.04	$223.87	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $537.03	Professional		$138.04	$204.17	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,023.29	Professional		$489.78	$776.25	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $346.74	Facility		$123.03	$234.42	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $1,047.13	Professional		$181.97	$416.87	$1,047.13