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 $69.18 / $72.44 / $87.10	Professional		$69.18	$72.44	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $134.90	Facility		$47.86	$95.50	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $93.33	Professional		$57.54	$79.43	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $426.58	Professional		$229.09	$309.03	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $134.90	Facility		$58.88	$95.50	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $512.86	Professional		$91.20	$204.17	$512.86