Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $12,022.64 / $33,884.42	Facility		$5,754.40	$12,022.64	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $630.96	Professional		$489.78	$537.03	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $831.76 / $1,047.13	Facility		$371.54	$831.76	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $630.96	Professional		$316.23	$537.03	$630.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,951.21	Professional		$1,949.84	$2,041.74	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $912.01	Facility		$371.54	$630.96	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $3,162.28	Professional		$812.83	$1,380.38	$3,162.28