Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $9,549.93 / $16,595.87	Facility		$1,949.84	$9,549.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,737.80	Professional		$1,412.54	$1,513.56	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $2,511.89	Facility		$912.01	$1,737.80	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $2,238.72	Professional		$912.01	$1,698.24	$2,238.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,128.31	Professional		$5,888.44	$5,888.44	$8,128.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,511.89	Facility		$1,047.13	$1,737.80	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $9,332.54	Professional		$2,187.76	$3,715.35	$9,332.54