Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,858.21 / $1,858.21 / $1,858.21	Professional		$1,858.21	$1,858.21	$1,858.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,657.24 / $2,657.24 / $2,657.24	Facility		$2,657.24	$2,657.24	$2,657.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,547.05 / $5,479.65 / $7,302.75	Professional		$3,547.05	$5,479.65	$7,302.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,657.24 / $2,657.24 / $2,657.24	Facility		$2,657.24	$2,657.24	$2,657.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,547.05 / $6,328.50 / $9,535.31	Professional		$3,547.05	$6,328.50	$9,535.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,541.00 / $3,171.50 / $9,627.79	Professional		$1,541.00	$3,171.50	$9,627.79