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 $19.95 / $165.96 / $213.80	Professional		$19.95	$165.96	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $194.98 / $302.00	Facility		$21.38	$194.98	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $194.98 / $218.78	Professional		$19.95	$194.98	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $758.58 / $1,288.25	Professional		$371.54	$758.58	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $194.98 / $302.00	Facility		$21.38	$194.98	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $912.01	Professional		$269.15	$457.09	$912.01