Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.56 / $1,573.56 / $10,831.40	Facility		$1,573.56	$1,573.56	$10,831.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,769.13 / $5,095.68 / $41,738.30	Professional		$2,769.13	$5,095.68	$41,738.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.67 / $4,231.28 / $29,125.57	Facility		$659.67	$4,231.28	$29,125.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.67 / $750.98 / $6,932.15	Professional		$525.67	$750.98	$6,932.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,123.55 / $3,701.25 / $27,041.82	Professional		$2,123.55	$3,701.25	$27,041.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.67 / $659.67 / $4,164.01	Facility		$659.67	$659.67	$4,164.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,976.25 / $3,950.72 / $34,430.37	Professional		$1,976.25	$3,950.72	$34,430.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,885.00 / $12,348.62 / $28,401.83	Professional		$3,885.00	$12,348.62	$28,401.83