Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,158.63 / $2,158.63 / $30,418.00	Facility		$2,158.63	$2,158.63	$30,418.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,878.77 / $7,093.67 / $103,800.00	Professional		$3,878.77	$7,093.67	$103,800.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.21 / $5,928.92 / $81,793.47	Facility		$911.21	$5,928.92	$81,793.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $736.82 / $1,052.59 / $20,073.50	Professional		$736.82	$1,052.59	$20,073.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,882.25 / $5,125.50 / $77,173.56	Professional		$2,882.25	$5,125.50	$77,173.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.21 / $911.21 / $11,610.28	Facility		$911.21	$911.21	$11,610.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,770.00 / $11,340.15 / $86,357.01	Professional		$2,770.00	$11,340.15	$86,357.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,368.00 / $32,674.52 / $70,633.14	Professional		$5,368.00	$32,674.52	$70,633.14