Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.78 / $1,504.78 / $21,044.40	Facility		$1,504.78	$1,504.78	$21,044.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,653.59 / $4,882.88 / $69,447.89	Professional		$2,653.59	$4,882.88	$69,447.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.97 / $4,133.03 / $56,588.06	Facility		$630.97	$4,133.03	$56,588.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.74 / $721.05 / $14,225.78	Professional		$504.74	$721.05	$14,225.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.15 / $28,257.50 / $58,063.50	Professional		$2,037.15	$28,257.50	$58,063.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.97 / $630.97 / $8,006.47	Facility		$630.97	$630.97	$8,006.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,271.00 / $10,393.34 / $60,159.26	Professional		$2,271.00	$10,393.34	$60,159.26
United Facility/Professional Professional Modifier Low / Median / High Price $3,729.00 / $23,208.24 / $47,257.46	Professional		$3,729.00	$23,208.24	$47,257.46