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 $223.87 / $257.04 / $602.56	Professional		$223.87	$257.04	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $354.81 / $457.09	Facility		$162.18	$354.81	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $794.33	Professional		$234.42	$281.84	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $2,754.23	Professional		$1,000.00	$2,570.40	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $398.11	Facility		$162.18	$281.84	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,380.38	Professional		$354.81	$602.56	$1,380.38