Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.75 / $1,813.75 / $1,813.75	Facility		$1,813.75	$1,813.75	$1,813.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,403.61 / $3,212.30 / $4,060.33	Professional		$2,403.61	$3,212.30	$4,060.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $764.20 / $3,483.68 / $4,981.66	Facility		$764.20	$3,483.68	$4,981.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.48 / $608.48 / $869.25	Professional		$608.48	$608.48	$869.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,328.75 / $2,701.35 / $4,080.90	Professional		$2,328.75	$2,701.35	$4,080.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $764.20 / $764.20 / $764.20	Facility		$764.20	$764.20	$764.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.73 / $3,047.55 / $4,393.47	Professional		$940.73	$3,047.55	$4,393.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,711.14 / $2,566.71 / $3,973.94	Professional		$1,711.14	$2,566.71	$3,973.94