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 $6,777.13 / $6,777.13 / $6,777.13	Professional		$6,777.13	$6,777.13	$6,777.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $789.05 / $9,487.98 / $12,260.55	Facility		$789.05	$9,487.98	$12,260.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,515.15 / $28,768.75 / $33,371.75	Professional		$3,515.15	$28,768.75	$33,371.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.05 / $9,487.98 / $12,260.55	Facility		$789.05	$9,487.98	$12,260.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $946.86 / $4,129.00 / $26,936.25	Professional		$946.86	$4,129.00	$26,936.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.24 / $2,450.05 / $5,006.53	Professional		$1,065.24	$2,450.05	$5,006.53