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 $2,309.35 / $2,309.35 / $2,309.35	Professional		$2,309.35	$2,309.35	$2,309.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,309.35 / $3,079.27 / $3,302.37	Facility		$2,309.35	$3,079.27	$3,302.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,233.75 / $8,893.79 / $10,674.00	Professional		$8,233.75	$8,893.79	$10,674.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,309.35 / $3,079.27 / $3,302.37	Facility		$2,309.35	$3,079.27	$3,302.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,217.73 / $8,235.00 / $12,702.06	Professional		$2,217.73	$8,235.00	$12,702.06
United Facility/Professional Professional Modifier Low / Median / High Price $4,712.72 / $4,712.72 / $10,798.96	Professional		$4,712.72	$4,712.72	$10,798.96