Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.61 / $1,147.61 / $1,147.61	Facility		$1,147.61	$1,147.61	$1,147.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.81 / $1,985.43 / $2,685.02	Professional		$1,478.81	$1,985.43	$2,685.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.70 / $2,204.25 / $3,152.08	Facility		$482.70	$2,204.25	$3,152.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.38 / $379.38 / $541.98	Professional		$379.38	$379.38	$541.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,442.50 / $1,673.30 / $2,544.42	Professional		$1,442.50	$1,673.30	$2,544.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.70 / $482.70 / $482.70	Facility		$482.70	$482.70	$482.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $594.84 / $1,894.20 / $2,875.04	Professional		$594.84	$1,894.20	$2,875.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.11 / $1,633.68 / $2,627.89	Professional		$1,089.11	$1,633.68	$2,627.89