Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.37 / $1,737.37 / $22,633.40	Facility		$1,737.37	$1,737.37	$22,633.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,079.48 / $5,652.04 / $84,887.80	Professional		$3,079.48	$5,652.04	$84,887.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.09 / $4,771.85 / $60,860.83	Facility		$728.09	$4,771.85	$60,860.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $585.53 / $836.48 / $16,401.28	Professional		$585.53	$836.48	$16,401.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,347.65 / $30,532.50 / $70,605.00	Professional		$2,347.65	$30,532.50	$70,605.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.09 / $728.09 / $8,660.95	Facility		$728.09	$728.09	$8,660.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,631.00 / $11,231.50 / $73,584.84	Professional		$2,631.00	$11,231.50	$73,584.84
United Facility/Professional Professional Modifier Low / Median / High Price $16,135.90 / $26,138.58 / $57,763.86	Professional		$16,135.90	$26,138.58	$57,763.86