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 $186.21 / $199.53 / $245.47	Professional		$186.21	$199.53	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $245.47 / $346.74	Facility		$120.23	$245.47	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $933.25 / $4,897.79	Professional		$316.23	$933.25	$4,897.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,071.52	Professional		$776.25	$776.25	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $346.74	Facility		$138.04	$245.47	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $741.31	Professional		$288.40	$489.78	$741.31