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 $81.28 / $89.13 / $128.82	Professional		$81.28	$89.13	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $162.18	Facility		$69.18	$117.49	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $245.47	Professional		$69.18	$102.33	$245.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $501.19	Professional		$245.47	$380.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $169.82	Facility		$69.18	$117.49	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $549.54	Professional		$93.33	$218.78	$549.54