Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,915.27 / $2,915.27 / $2,915.27	Professional		$2,915.27	$2,915.27	$2,915.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,915.27 / $4,081.38 / $4,168.84	Facility		$2,915.27	$4,081.38	$4,168.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,507.45 / $10,440.00 / $22,382.20	Professional		$7,507.45	$10,440.00	$22,382.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,915.27 / $4,081.38 / $4,168.84	Facility		$2,915.27	$4,081.38	$4,168.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,853.00 / $8,352.00 / $10,440.00	Professional		$5,853.00	$8,352.00	$10,440.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,586.08 / $5,305.23 / $7,989.16	Professional		$2,586.08	$5,305.23	$7,989.16