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 $12,030.94 / $12,030.94 / $12,030.94	Professional		$12,030.94	$12,030.94	$12,030.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.68 / $12,030.94 / $17,204.24	Facility		$698.68	$12,030.94	$17,204.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,183.75 / $16,868.25 / $57,436.00	Professional		$5,183.75	$16,868.25	$57,436.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.68 / $12,030.94 / $17,204.24	Facility		$698.68	$12,030.94	$17,204.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $15,618.75 / $43,077.00 / $68,348.84	Professional		$15,618.75	$43,077.00	$68,348.84
United Facility/Professional Professional Modifier Low / Median / High Price $25,957.58 / $38,936.37 / $59,748.25	Professional		$25,957.58	$38,936.37	$59,748.25