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 $53.70 / $70.79 / $79.43	Professional		$53.70	$70.79	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $114.82	Facility		$48.98	$79.43	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $389.05 / $1,949.84	Professional		$158.49	$389.05	$1,949.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $1,995.26	Professional		$245.47	$245.47	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $114.82	Facility		$48.98	$79.43	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $245.47	Professional		$63.10	$107.15	$245.47