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 $239.88 / $257.04 / $302.00	Professional		$239.88	$257.04	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $346.74 / $501.19	Facility		$162.18	$346.74	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $380.19	Professional		$204.17	$346.74	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,584.89	Professional		$741.31	$1,122.02	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $204.17 / $501.19	Facility		$36.31	$204.17	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $676.08 / $1,659.59	Professional		$239.88	$676.08	$1,659.59