Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.15 / $3,647.18 / $6,689.96	Facility		$1,094.15	$3,647.18	$6,689.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,064.00 / $4,126.52 / $6,689.96	Professional		$4,064.00	$4,126.52	$6,689.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.13 / $1,490.13 / $1,490.13	Facility		$1,490.13	$1,490.13	$1,490.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $334.50 / $334.50 / $477.85	Professional		$334.50	$334.50	$477.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,257.50 / $1,441.80 / $3,068.30	Professional		$1,257.50	$1,441.80	$3,068.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.50 / $1,537.50 / $3,068.30	Professional		$1,257.50	$1,537.50	$3,068.30
United Facility/Professional Professional Modifier Low / Median / High Price $593.74 / $1,238.22 / $4,723.56	Professional		$593.74	$1,238.22	$4,723.56