Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,009.86 / $2,009.86 / $23,067.50	Facility		$2,009.86	$2,009.86	$23,067.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,570.56 / $6,524.35 / $64,320.90	Professional		$3,570.56	$6,524.35	$64,320.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $845.12 / $5,520.26 / $62,028.12	Facility		$845.12	$5,520.26	$62,028.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $677.97 / $968.53 / $13,971.18	Professional		$677.97	$968.53	$13,971.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,721.60 / $4,716.00 / $53,262.00	Professional		$2,721.60	$4,716.00	$53,262.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $845.12 / $845.12 / $8,866.45	Facility		$845.12	$845.12	$8,866.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,548.75 / $8,571.44 / $55,461.14	Professional		$2,548.75	$8,571.44	$55,461.14
United Facility/Professional Professional Modifier Low / Median / High Price $4,941.00 / $23,660.04 / $43,768.63	Professional		$4,941.00	$23,660.04	$43,768.63