Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,754.40 / $9,120.11	Facility		$3,235.94	$5,754.40	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $724.44	Professional		$602.56	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $8,709.64	Facility		$5,370.32	$5,370.32	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $5,370.32	Professional		$602.56	$724.44	$5,370.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $2,951.21	Facility		$2,570.40	$2,754.23	$2,951.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,479.11 / $2,238.72	Professional		$446.68	$1,479.11	$2,238.72