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 $851.31 / $4,443.35 / $4,443.35	Professional		$851.31	$4,443.35	$4,443.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.21 / $4,443.35 / $6,220.70	Facility		$870.21	$4,443.35	$6,220.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.67 / $2,720.01 / $5,521.91	Professional		$2,266.67	$2,720.01	$5,521.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,291.25 / $4,542.52 / $5,556.00	Professional		$3,291.25	$4,542.52	$5,556.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.21 / $4,443.35 / $6,220.70	Facility		$870.21	$4,443.35	$6,220.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,360.27 / $4,539.14 / $5,814.60	Professional		$1,360.27	$4,539.14	$5,814.60
United Facility/Professional Facility Modifier Low / Median / High Price $14,287.46 / $14,287.46 / $14,287.46	Facility		$14,287.46	$14,287.46	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,397.14 / $4,195.00 / $5,273.71	Professional		$2,397.14	$4,195.00	$5,273.71