Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $14,125.38 / $33,884.42	Facility		$5,754.40	$14,125.38	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $2,041.74	Professional		$1,258.93	$1,862.09	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $33,884.42	Facility		$812.83	$1,659.59	$33,884.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $2,041.74	Professional		$812.83	$1,659.59	$2,041.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $8,128.31	Professional		$5,370.32	$5,370.32	$8,128.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,344.23	Facility		$1,348.96	$1,659.59	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $10,964.78	Professional		$2,818.38	$4,786.30	$10,964.78