Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,022.64 / $16,595.87	Facility		$9,772.37	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,148.15	Professional		$912.01	$977.24	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $1,659.59	Facility		$602.56	$1,148.15	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,071.52 / $1,513.56	Professional		$575.44	$1,071.52	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $5,370.32	Professional		$2,951.21	$3,890.45	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,659.59	Facility		$691.83	$1,148.15	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $5,248.07	Professional		$1,148.15	$2,089.30	$5,248.07