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 $190.55 / $263.03 / $302.00	Professional		$190.55	$263.03	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $346.74 / $501.19	Facility		$194.98	$346.74	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $346.74	Professional		$190.55	$302.00	$346.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,548.82	Professional		$831.76	$1,122.02	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $389.05 / $489.78	Facility		$204.17	$389.05	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,202.26 / $1,548.82	Professional		$380.19	$1,202.26	$1,548.82