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 $48.98 / $81.28 / $100.00	Professional		$48.98	$81.28	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $151.36	Facility		$61.66	$97.72	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $95.50	Professional		$64.57	$77.62	$95.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $426.58	Professional		$162.18	$323.59	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $151.36	Facility		$57.54	$95.50	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $426.58	Professional		$128.82	$213.80	$426.58