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 $28.84 / $33.88 / $213.80	Professional		$28.84	$33.88	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $48.98	Facility		$34.67	$34.67	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $223.87	Professional		$33.88	$36.31	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $398.11	Professional		$117.49	$117.49	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $208.93 / $239.88	Facility		$34.67	$208.93	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $109.65	Professional		$36.31	$39.81	$109.65