Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,080.77 / $5,565.26 / $8,695.70	Facility		$3,080.77	$5,565.26	$8,695.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,068.35 / $5,565.26 / $8,571.49	Professional		$5,068.35	$5,565.26	$8,571.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,552.82 / $3,552.82 / $3,552.82	Facility		$3,552.82	$3,552.82	$3,552.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.73 / $2,744.07 / $2,966.56	Facility		$2,595.73	$2,744.07	$2,966.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.48 / $1,668.69 / $1,668.69	Professional		$667.48	$1,668.69	$1,668.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,595.73 / $2,855.31 / $3,552.82	Facility		$2,595.73	$2,855.31	$3,552.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,039.51 / $2,039.51 / $2,039.51	Professional		$2,039.51	$2,039.51	$2,039.51
United Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $1,483.28 / $2,237.67	Professional		$741.64	$1,483.28	$2,237.67