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 $2,688.81 / $2,688.81 / $2,688.81	Professional		$2,688.81	$2,688.81	$2,688.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,688.81 / $3,764.33 / $3,845.00	Facility		$2,688.81	$3,764.33	$3,845.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,503.60 / $10,440.00 / $35,616.35	Professional		$7,503.60	$10,440.00	$35,616.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,688.81 / $3,764.33 / $3,845.00	Facility		$2,688.81	$3,764.33	$3,845.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,850.00 / $7,503.60 / $10,440.00	Professional		$5,850.00	$7,503.60	$10,440.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,585.94 / $5,302.41 / $7,984.92	Professional		$2,585.94	$5,302.41	$7,984.92