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 $162.18 / $190.55 / $213.80	Professional		$162.18	$190.55	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $239.88 / $302.00	Facility		$213.80	$239.88	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $213.80	Professional		$199.53	$213.80	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $851.14	Professional		$398.11	$691.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $218.78 / $302.00	Facility		$213.80	$218.78	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $776.25	Professional		$302.00	$512.86	$776.25