Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.35 / $1,430.35 / $8,082.90	Facility		$1,430.35	$1,430.35	$8,082.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,522.96 / $4,636.35 / $35,671.19	Professional		$2,522.96	$4,636.35	$35,671.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $3,846.22 / $21,734.80	Facility		$599.66	$3,846.22	$21,734.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.80 / $685.43 / $5,646.33	Professional		$479.80	$685.43	$5,646.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,935.90 / $3,379.50 / $21,389.11	Professional		$1,935.90	$3,379.50	$21,389.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $599.66 / $3,124.94	Facility		$599.66	$599.66	$3,124.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,803.75 / $3,441.48 / $29,391.96	Professional		$1,803.75	$3,441.48	$29,391.96
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.00 / $9,171.24 / $24,273.33	Professional		$3,548.00	$9,171.24	$24,273.33