Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.70 / $1,288.70 / $7,653.53	Facility		$1,288.70	$1,288.70	$7,653.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,271.78 / $4,161.05 / $29,256.40	Professional		$2,271.78	$4,161.05	$29,256.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $540.44 / $3,465.27 / $20,580.25	Facility		$540.44	$3,465.27	$20,580.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $430.26 / $614.65 / $4,782.30	Professional		$430.26	$614.65	$4,782.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,746.90 / $3,033.00 / $18,787.86	Professional		$1,746.90	$3,033.00	$18,787.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.44 / $540.44 / $2,955.23	Facility		$540.44	$540.44	$2,955.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,942.50 / $3,804.70 / $24,547.50	Professional		$1,942.50	$3,804.70	$24,547.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,185.00 / $8,059.90 / $19,908.20	Professional		$3,185.00	$8,059.90	$19,908.20