Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.46 / $3,641.54 / $6,679.62	Facility		$1,092.46	$3,641.54	$6,679.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,057.72 / $4,120.14 / $6,679.62	Professional		$4,057.72	$4,120.14	$6,679.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.83 / $1,487.83 / $1,487.83	Facility		$1,487.83	$1,487.83	$1,487.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.50 / $333.50 / $476.43	Professional		$333.50	$333.50	$476.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.75 / $1,435.05 / $3,059.15	Professional		$1,253.75	$1,435.05	$3,059.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,253.75 / $1,531.50 / $3,059.15	Professional		$1,253.75	$1,531.50	$3,059.15
United Facility/Professional Professional Modifier Low / Median / High Price $592.15 / $823.58 / $4,712.68	Professional		$592.15	$823.58	$4,712.68