Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $16,595.87 / $33,884.42	Facility		$5,754.40	$16,595.87	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,047.13	Professional		$794.33	$954.99	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,479.11	Facility		$676.08	$1,148.15	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $1,047.13	Professional		$512.86	$977.24	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,311.31 / $3,890.45	Professional		$2,951.21	$3,311.31	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,479.11	Facility		$676.08	$1,047.13	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $5,623.41	Professional		$1,380.38	$2,454.71	$5,623.41