Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.75 / $1,434.75 / $1,434.75	Professional		$1,434.75	$1,434.75	$1,434.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,434.75 / $2,008.65 / $2,051.69	Facility		$1,434.75	$2,008.65	$2,051.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,043.75 / $4,690.75 / $10,678.00	Professional		$4,043.75	$4,690.75	$10,678.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,434.75 / $2,008.65 / $2,051.69	Facility		$1,434.75	$2,008.65	$2,051.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,282.50 / $8,023.50 / $12,706.82	Professional		$4,282.50	$8,023.50	$12,706.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.90 / $3,533.67 / $5,404.77	Professional		$2,349.90	$3,533.67	$5,404.77