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 $630.96 / $4,786.30 / $6,760.83	Professional		$630.96	$4,786.30	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $6,760.83 / $12,302.69	Facility		$588.84	$6,760.83	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $4,786.30 / $8,709.64	Professional		$645.65	$4,786.30	$8,709.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $28,840.32 / $40,738.03	Professional		$3,630.78	$28,840.32	$40,738.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $6,760.83 / $9,772.37	Facility		$467.74	$6,760.83	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,238.72 / $5,011.87	Professional		$524.81	$2,238.72	$5,011.87