Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,949.34 / $5,327.84 / $8,324.75	Facility		$2,949.34	$5,327.84	$8,324.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,852.14 / $5,327.84 / $8,205.83	Professional		$4,852.14	$5,327.84	$8,205.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,401.26 / $3,401.26 / $3,401.26	Facility		$3,401.26	$3,401.26	$3,401.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $2,627.00 / $2,840.00	Facility		$2,485.00	$2,627.00	$2,840.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $1,597.50 / $1,597.50	Professional		$639.00	$1,597.50	$1,597.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $2,733.50 / $3,401.26	Facility		$2,485.00	$2,733.50	$3,401.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,952.50 / $1,952.50 / $1,952.50	Professional		$1,952.50	$1,952.50	$1,952.50
United Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $1,420.00 / $2,142.21	Professional		$710.00	$1,420.00	$2,142.21