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 $1,470.21 / $1,470.21 / $1,470.21	Professional		$1,470.21	$1,470.21	$1,470.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.21 / $2,058.29 / $2,102.40	Facility		$1,470.21	$2,058.29	$2,102.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,611.25 / $5,265.00 / $7,020.00	Professional		$4,611.25	$5,265.00	$7,020.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,470.21 / $2,058.29 / $2,102.40	Facility		$1,470.21	$2,058.29	$2,102.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,387.50 / $5,265.00 / $8,353.79	Professional		$4,387.50	$5,265.00	$8,353.79
United Facility/Professional Professional Modifier Low / Median / High Price $3,172.58 / $4,758.87 / $7,302.50	Professional		$3,172.58	$4,758.87	$7,302.50