Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $16,595.87	Facility		$3,890.45	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $275.42	Professional		$177.83	$234.42	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Facility		$251.19	$251.19	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $275.42	Professional		$218.78	$245.47	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $870.96	Professional		$575.44	$707.95	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Facility		$251.19	$251.19	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $912.01	Professional		$363.08	$602.56	$912.01