Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $8,709.64	Facility		$3,090.30	$5,495.41	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $2,398.83	Professional		$575.44	$660.69	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $8,317.64	Facility		$5,128.61	$5,128.61	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $5,128.61	Professional		$575.44	$691.83	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,818.38	Facility		$2,511.89	$2,630.27	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,412.54 / $2,137.96	Professional		$426.58	$1,412.54	$2,137.96