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 $57.54 / $58.88 / $77.62	Professional		$57.54	$58.88	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $79.43 / $112.20	Facility		$38.90	$79.43	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $72.44 / $208.93	Professional		$12.88	$72.44	$208.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $724.44	Professional		$251.19	$251.19	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $112.20	Facility		$41.69	$79.43	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $151.36 / $263.03	Professional		$37.15	$151.36	$263.03