Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $14,125.38 / $22,387.21	Facility		$2,344.23	$14,125.38	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $7,585.78 / $10,715.19	Professional		$794.33	$7,585.78	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $10,715.19 / $15,135.61	Facility		$758.58	$10,715.19	$15,135.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $7,585.78 / $11,748.98	Professional		$831.76	$7,585.78	$11,748.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $39,810.72 / $44,668.36	Professional		$4,570.88	$39,810.72	$44,668.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $10,715.19 / $15,488.17	Facility		$575.44	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,290.87 / $5,248.07	Professional		$794.33	$2,290.87	$5,248.07