Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,820.00 / $9,774.00 / $14,552.94	Facility		$6,820.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.42 / $1,010.42 / $1,010.42	Professional		$1,010.42	$1,010.42	$1,010.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,010.42 / $1,414.59 / $1,444.90	Facility		$1,010.42	$1,414.59	$1,444.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.75 / $1,610.95 / $4,822.00	Professional		$1,388.75	$1,610.95	$4,822.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.42 / $1,414.59 / $1,444.90	Facility		$1,010.42	$1,414.59	$1,444.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,388.75 / $3,616.50 / $5,738.18	Professional		$1,388.75	$3,616.50	$5,738.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,179.26 / $3,268.89 / $5,016.07	Professional		$2,179.26	$3,268.89	$5,016.07