Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,243.00 / $9,813.00 / $14,552.94	Facility		$7,243.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.62 / $1,644.53 / $1,644.53	Professional		$1,019.62	$1,644.53	$1,644.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,220.05 / $1,644.53 / $2,302.34	Facility		$1,220.05	$1,644.53	$2,302.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,925.00 / $5,632.38 / $7,655.35	Professional		$3,925.00	$5,632.38	$7,655.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,375.96 / $1,644.53 / $2,302.34	Facility		$1,375.96	$1,644.53	$2,302.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,925.00 / $5,887.50 / $8,968.62	Professional		$3,925.00	$5,887.50	$8,968.62
United Facility/Professional Professional Modifier Low / Median / High Price $3,373.19 / $5,353.41 / $8,073.02	Professional		$3,373.19	$5,353.41	$8,073.02