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 $478.63 / $1,023.29 / $25,118.86	Professional		$478.63	$1,023.29	$25,118.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $13,489.63	Facility		$776.25	$1,258.93	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,096.48 / $13,489.63	Professional		$489.78	$1,096.48	$13,489.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $3,548.13	Professional		$1,348.96	$3,311.31	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $13,489.63	Facility		$741.31	$1,023.29	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $2,187.76 / $2,754.23	Professional		$229.09	$2,187.76	$2,754.23