Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,022.64 / $16,595.87	Facility		$9,772.37	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $275.42	Professional		$169.82	$213.80	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $213.80 / $323.59	Facility		$22.91	$213.80	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $288.40	Professional		$213.80	$229.09	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $1,513.56	Professional		$741.31	$794.33	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $213.80 / $398.11	Facility		$19.05	$213.80	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $707.95 / $1,258.93	Professional		$331.13	$707.95	$1,258.93