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 $2,104.12 / $2,104.12 / $2,104.12	Professional		$2,104.12	$2,104.12	$2,104.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.67 / $2,104.12 / $3,008.89	Facility		$1,221.67	$2,104.12	$3,008.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,751.25 / $6,671.45 / $10,046.00	Professional		$5,751.25	$6,671.45	$10,046.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.67 / $2,104.12 / $3,008.89	Facility		$1,221.67	$2,104.12	$3,008.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,751.25 / $7,534.50 / $11,954.74	Professional		$5,751.25	$7,534.50	$11,954.74
United Facility/Professional Professional Modifier Low / Median / High Price $4,894.43 / $7,341.66 / $11,267.06	Professional		$4,894.43	$7,341.66	$11,267.06