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 $6,771.64 / $6,771.64 / $6,771.64	Professional		$6,771.64	$6,771.64	$6,771.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,771.64 / $9,480.29 / $9,683.45	Facility		$6,771.64	$9,480.29	$9,683.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,374.21 / $23,186.95 / $24,246.00	Professional		$6,374.21	$23,186.95	$24,246.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,771.64 / $9,480.29 / $9,683.45	Facility		$6,771.64	$9,480.29	$9,683.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,969.50 / $7,405.69 / $24,246.00	Professional		$4,969.50	$7,405.69	$24,246.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,196.10 / $4,504.35 / $6,783.12	Professional		$2,196.10	$4,504.35	$6,783.12