Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.26 / $1,162.26 / $6,569.24	Facility		$1,162.26	$1,162.26	$6,569.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,043.00 / $3,753.96 / $24,138.50	Professional		$2,043.00	$3,753.96	$24,138.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.77 / $3,125.29 / $17,664.59	Facility		$487.77	$3,125.29	$17,664.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $554.79 / $3,978.60	Professional		$388.36	$554.79	$3,978.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,571.40 / $2,751.75 / $15,796.04	Professional		$1,571.40	$2,751.75	$15,796.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.77 / $487.77 / $2,553.23	Facility		$487.77	$487.77	$2,553.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,460.00 / $2,789.36 / $19,813.24	Professional		$1,460.00	$2,789.36	$19,813.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,885.00 / $6,786.92 / $16,425.59	Professional		$2,885.00	$6,786.92	$16,425.59