Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.29 / $666.80 / $666.80	Professional		$647.29	$666.80	$666.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $953.52 / $953.52 / $953.52	Facility		$953.52	$953.52	$953.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $359.04 / $385.37	Professional		$164.83	$359.04	$385.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.75 / $495.45 / $677.10	Professional		$433.75	$495.45	$677.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $953.52 / $953.52 / $953.52	Facility		$953.52	$953.52	$953.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $523.50 / $710.64	Professional		$164.83	$523.50	$710.64
United Facility/Professional Professional Modifier Low / Median / High Price $174.54 / $304.14 / $504.12	Professional		$174.54	$304.14	$504.12