Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.95 / $3,002.01 / $3,002.01	Professional		$576.95	$3,002.01	$3,002.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $3,002.01 / $4,202.81	Facility		$590.65	$3,002.01	$4,202.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.30 / $1,849.56 / $3,754.82	Professional		$1,541.30	$1,849.56	$3,754.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $3,059.88 / $3,776.00	Professional		$2,205.00	$3,059.88	$3,776.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $3,002.01 / $4,202.81	Facility		$590.65	$3,002.01	$4,202.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $918.84 / $3,059.88 / $3,898.40	Professional		$918.84	$3,059.88	$3,898.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.96 / $2,424.63 / $3,535.84	Professional		$1,600.96	$2,424.63	$3,535.84