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 $223.87 / $870.96 / $1,288.25	Professional		$223.87	$870.96	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,412.54 / $1,995.26	Facility		$199.53	$1,412.54	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,288.25 / $1,412.54	Professional		$223.87	$1,288.25	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $7,079.46	Professional		$3,388.44	$5,248.07	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,041.74	Facility		$870.96	$1,202.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $5,248.07 / $6,760.83	Professional		$1,412.54	$5,248.07	$6,760.83