Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.26 / $2,087.26 / $28,970.70	Facility		$2,087.26	$2,087.26	$28,970.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,700.69 / $6,805.70 / $114,755.00	Professional		$3,700.69	$6,805.70	$114,755.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $874.45 / $5,732.88 / $77,901.87	Facility		$874.45	$5,732.88	$77,901.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $703.90 / $1,005.58 / $21,132.75	Professional		$703.90	$1,005.58	$21,132.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,812.05 / $4,927.50 / $79,388.09	Professional		$2,812.05	$4,927.50	$79,388.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $874.45 / $874.45 / $11,053.22	Facility		$874.45	$874.45	$11,053.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,646.25 / $10,755.40 / $95,599.83	Professional		$2,646.25	$10,755.40	$95,599.83
United Facility/Professional Professional Modifier Low / Median / High Price $5,165.00 / $33,589.56 / $78,087.62	Professional		$5,165.00	$33,589.56	$78,087.62