Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,799.23 / $2,799.23 / $2,799.23	Facility		$2,799.23	$2,799.23	$2,799.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,606.61 / $4,846.14 / $6,278.49	Professional		$3,606.61	$4,846.14	$6,278.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.20 / $5,376.49 / $7,688.38	Facility		$1,177.20	$5,376.49	$7,688.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $921.36 / $921.36 / $1,316.23	Professional		$921.36	$921.36	$1,316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,517.50 / $4,080.30 / $6,179.33	Professional		$3,517.50	$4,080.30	$6,179.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,177.20 / $1,177.20 / $1,177.20	Facility		$1,177.20	$1,177.20	$1,177.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,450.16 / $4,620.00 / $6,673.52	Professional		$1,450.16	$4,620.00	$6,673.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,657.94 / $3,986.91 / $6,144.91	Professional		$2,657.94	$3,986.91	$6,144.91