Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $14,125.38 / $22,387.21	Facility		$2,344.23	$14,125.38	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,344.23	Professional		$1,659.59	$1,819.70	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,311.31	Facility		$2,344.23	$2,344.23	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,398.83	Professional		$1,659.59	$2,344.23	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,762.47 / $10,000.00	Professional		$4,897.79	$7,762.47	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,311.31	Facility		$2,344.23	$2,344.23	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $15,135.61	Professional		$2,398.83	$3,890.45	$15,135.61