Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $20,417.38	Facility		$2,344.23	$10,000.00	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,380.38	Professional		$977.24	$1,096.48	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,905.46	Facility		$831.76	$1,318.26	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,380.38	Professional		$831.76	$1,230.27	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,165.95	Professional		$3,162.28	$4,570.88	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,905.46	Facility		$977.24	$1,148.15	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $7,244.36	Professional		$1,047.13	$2,884.03	$7,244.36