Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $16,595.87	Facility		$3,890.45	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,096.48	Professional		$602.56	$870.96	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,548.82	Facility		$851.14	$1,096.48	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,412.54	Professional		$575.44	$912.01	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $5,128.61	Professional		$2,187.76	$3,715.35	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,584.89	Facility		$794.33	$1,096.48	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,513.56	Professional		$309.03	$309.03	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,344.23 / $5,623.41	Professional		$851.14	$2,344.23	$5,623.41