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 / $16,713.96	Facility		$9,285.00	$13,413.92	$16,713.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,217.53 / $2,217.53 / $2,217.53	Professional		$2,217.53	$2,217.53	$2,217.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,217.53 / $3,104.54 / $3,171.07	Facility		$2,217.53	$3,104.54	$3,171.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,807.50 / $6,786.45 / $11,474.00	Professional		$5,807.50	$6,786.45	$11,474.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,217.53 / $3,104.54 / $3,171.07	Facility		$2,217.53	$3,104.54	$3,171.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,283.75 / $8,605.50 / $13,654.06	Professional		$6,283.75	$8,605.50	$13,654.06
United Facility/Professional Professional Modifier Low / Median / High Price $5,199.14 / $7,800.39 / $11,958.02	Professional		$5,199.14	$7,800.39	$11,958.02