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 $1,148.15 / $1,318.26 / $1,445.44	Professional		$1,148.15	$1,318.26	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,238.72	Facility		$977.24	$1,584.89	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,584.89	Professional		$977.24	$1,412.54	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $7,413.10	Professional		$3,801.89	$5,370.32	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,238.72	Facility		$1,000.00	$1,318.26	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,388.44 / $8,511.38	Professional		$1,230.27	$3,388.44	$8,511.38