Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,910.13 / $5,257.01 / $8,214.08	Facility		$2,910.13	$5,257.01	$8,214.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,787.63 / $5,257.01 / $8,096.74	Professional		$4,787.63	$5,257.01	$8,096.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,356.04 / $3,356.04 / $3,356.04	Facility		$3,356.04	$3,356.04	$3,356.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.96 / $2,592.07 / $2,802.24	Facility		$2,451.96	$2,592.07	$2,802.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.50 / $1,576.26 / $1,576.26	Professional		$630.50	$1,576.26	$1,576.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,451.96 / $2,697.16 / $3,356.04	Facility		$2,451.96	$2,697.16	$3,356.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,926.54 / $1,926.54 / $1,926.54	Professional		$1,926.54	$1,926.54	$1,926.54
United Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $1,401.12 / $2,113.73	Professional		$700.56	$1,401.12	$2,113.73