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 $1,348.96 / $2,238.72 / $2,884.03	Professional		$1,348.96	$2,238.72	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,884.03 / $5,248.07	Facility		$977.24	$2,884.03	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,585.78	Professional		$1,380.38	$2,884.03	$7,585.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,332.54 / $22,387.21	Professional		$7,585.78	$9,332.54	$22,387.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,884.03 / $4,168.69	Facility		$977.24	$2,884.03	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,943.28	Professional		$1,288.25	$3,548.13	$7,943.28