Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,855.59 / $3,855.59 / $3,855.59	Facility		$3,855.59	$3,855.59	$3,855.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.59 / $7,001.33 / $9,481.85	Professional		$3,855.59	$7,001.33	$9,481.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.58 / $6,539.21 / $9,154.89	Facility		$1,267.58	$6,539.21	$9,154.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.43 / $1,290.43 / $1,843.48	Professional		$1,290.43	$1,290.43	$1,843.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,851.25 / $6,596.00 / $8,076.00	Professional		$4,851.25	$6,596.00	$8,076.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.58 / $1,267.58 / $1,766.30	Facility		$1,267.58	$1,267.58	$1,766.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,716.70 / $6,596.00 / $8,533.79	Professional		$2,716.70	$6,596.00	$8,533.79
United Facility/Professional Professional Modifier Low / Median / High Price $3,550.74 / $5,357.09 / $7,812.24	Professional		$3,550.74	$5,357.09	$7,812.24