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 $1,851.33 / $1,851.33 / $1,851.33	Professional		$1,851.33	$1,851.33	$1,851.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,851.33 / $2,591.86 / $2,647.40	Facility		$1,851.33	$2,591.86	$2,647.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,813.75 / $6,743.95 / $10,672.00	Professional		$5,813.75	$6,743.95	$10,672.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,851.33 / $2,591.86 / $2,647.40	Facility		$1,851.33	$2,591.86	$2,647.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,525.00 / $8,004.00 / $12,699.68	Professional		$5,525.00	$8,004.00	$12,699.68
United Facility/Professional Professional Modifier Low / Median / High Price $4,836.85 / $7,255.38 / $11,124.78	Professional		$4,836.85	$7,255.38	$11,124.78