Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $16,595.87	Facility		$3,890.45	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $851.14	Professional		$457.09	$776.25	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,479.11	Facility		$549.54	$891.25	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,621.81	Professional		$549.54	$870.96	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $4,265.80	Professional		$1,698.24	$3,548.13	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,479.11	Facility		$549.54	$1,096.48	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $2,187.76	Professional		$562.34	$758.58	$2,187.76