Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $13,413.92 / $20,143.00	Facility		$9,285.00	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,721.09 / $10,721.09 / $10,721.09	Professional		$10,721.09	$10,721.09	$10,721.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $13,620.75 / $15,331.16	Facility		$1,003.85	$13,620.75	$15,331.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,398.26 / $36,474.75 / $39,960.00	Professional		$4,398.26	$36,474.75	$39,960.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $13,620.75 / $15,331.16	Facility		$1,003.85	$13,620.75	$15,331.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,204.61 / $5,184.67 / $38,388.00	Professional		$1,204.61	$5,184.67	$38,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.40 / $2,302.50 / $5,201.01	Professional		$1,600.40	$2,302.50	$5,201.01