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 $1,258.93 / $1,412.54 / $1,737.80	Professional		$1,258.93	$1,412.54	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $33,884.42	Facility		$912.01	$1,737.80	$33,884.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $1,862.09	Professional		$912.01	$1,445.44	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,456.54 / $8,317.64	Professional		$6,309.57	$6,456.54	$8,317.64
Providence 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
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $7,943.28	Professional		$2,041.74	$3,467.37	$7,943.28