Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $16,595.87	Facility		$3,890.45	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,659.59	Professional		$380.19	$457.09	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,659.59 / $2,344.23	Facility		$562.34	$1,659.59	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $1,659.59	Professional		$407.38	$467.74	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $2,398.83	Professional		$1,659.59	$1,778.28	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,659.59 / $2,344.23	Facility		$562.34	$1,659.59	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $2,290.87	Professional		$575.44	$1,000.00	$2,290.87