Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.94 / $3,621.57 / $3,621.57	Professional		$843.94	$3,621.57	$3,621.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $716.15 / $875.56 / $5,178.85	Facility		$716.15	$875.56	$5,178.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.88 / $1,709.85 / $4,040.47	Professional		$1,424.88	$1,709.85	$4,040.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,202.50 / $2,378.69 / $4,148.10	Professional		$2,202.50	$2,378.69	$4,148.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.56 / $875.56 / $5,178.85	Facility		$875.56	$875.56	$5,178.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $900.13 / $3,292.90 / $4,341.50	Professional		$900.13	$3,292.90	$4,341.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.34 / $1,716.86 / $5,198.93	Professional		$1,020.34	$1,716.86	$5,198.93