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 $338.84 / $371.54 / $446.68	Professional		$338.84	$371.54	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $645.65	Facility		$223.87	$446.68	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $446.68	Professional		$218.78	$371.54	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,949.84	Professional		$1,318.26	$1,548.82	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $446.68 / $645.65	Facility		$257.04	$446.68	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $2,137.96	Professional		$537.03	$912.01	$2,137.96