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 $251.19 / $281.84 / $331.13	Professional		$251.19	$281.84	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $331.13 / $478.63	Facility		$162.18	$331.13	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $426.58	Professional		$162.18	$302.00	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $478.63	Facility		$190.55	$331.13	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,659.59	Professional		$416.87	$707.95	$1,659.59