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 $83.18 / $91.20 / $120.23	Professional		$83.18	$91.20	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $158.49	Facility		$70.79	$114.82	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $407.38	Professional		$70.79	$104.71	$407.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $524.81	Professional		$251.19	$389.05	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $177.83	Facility		$69.18	$117.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $549.54	Professional		$95.50	$223.87	$549.54