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 $1,432.11 / $1,432.11 / $1,432.11	Professional		$1,432.11	$1,432.11	$1,432.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.11 / $2,004.95 / $2,047.92	Facility		$1,432.11	$2,004.95	$2,047.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,663.25 / $7,031.05 / $11,112.00	Professional		$5,663.25	$7,031.05	$11,112.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,432.11 / $2,004.95 / $2,047.92	Facility		$1,432.11	$2,004.95	$2,047.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,243.75 / $8,779.50 / $13,223.28	Professional		$5,243.75	$8,779.50	$13,223.28
United Facility/Professional Professional Modifier Low / Median / High Price $5,036.16 / $5,038.92 / $11,589.52	Professional		$5,036.16	$5,038.92	$11,589.52