Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $14,125.38 / $22,387.21	Facility		$2,344.23	$14,125.38	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $489.78	Professional		$371.54	$416.87	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $707.95	Facility		$245.47	$489.78	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $489.78	Professional		$239.88	$416.87	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $2,041.74	Professional		$1,445.44	$1,584.89	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $489.78 / $707.95	Facility		$281.84	$489.78	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $2,454.71	Professional		$616.60	$1,047.13	$2,454.71