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 $1,148.15 / $5,011.87 / $6,760.83	Professional		$1,148.15	$5,011.87	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $9,772.37	Facility		$831.76	$5,754.40	$9,772.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $5,011.87 / $6,918.31	Professional		$1,174.90	$5,011.87	$6,918.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $23,988.33 / $23,988.33	Professional		$6,309.57	$23,988.33	$23,988.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,760.83 / $9,772.37	Facility		$831.76	$6,760.83	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,019.95 / $6,760.83	Professional		$1,096.48	$3,019.95	$6,760.83