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 $1,022.99 / $1,022.99 / $1,022.99	Professional		$1,022.99	$1,022.99	$1,022.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.99 / $1,432.19 / $1,462.88	Facility		$1,022.99	$1,432.19	$1,462.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,588.30 / $4,342.75 / $5,918.00	Professional		$3,588.30	$4,342.75	$5,918.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,022.99 / $1,432.19 / $1,462.88	Facility		$1,022.99	$1,432.19	$1,462.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,322.50 / $5,029.50 / $7,042.42	Professional		$3,322.50	$5,029.50	$7,042.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.10 / $2,820.03 / $4,126.35	Professional		$2,007.10	$2,820.03	$4,126.35