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 $1,762.32 / $2,682.44 / $2,682.44	Professional		$1,762.32	$2,682.44	$2,682.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,571.37 / $2,682.44 / $3,755.42	Facility		$1,571.37	$2,682.44	$3,755.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,689.00 / $7,346.25 / $10,825.43	Professional		$2,689.00	$7,346.25	$10,825.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,280.07 / $2,682.44 / $3,755.42	Facility		$2,280.07	$2,682.44	$3,755.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,689.00 / $6,399.82 / $10,971.00	Professional		$2,689.00	$6,399.82	$10,971.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,837.22 / $6,576.73 / $8,441.87	Professional		$3,837.22	$6,576.73	$8,441.87