Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.71 / $973.71 / $973.71	Professional		$973.71	$973.71	$973.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $975.16 / $1,303.75 / $1,392.41	Facility		$975.16	$1,303.75	$1,392.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,030.65 / $3,225.15 / $4,180.75	Professional		$2,030.65	$3,225.15	$4,180.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,303.75 / $1,303.75 / $1,392.41	Facility		$1,303.75	$1,303.75	$1,392.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.60 / $2,005.66 / $6,073.46	Professional		$1,267.60	$2,005.66	$6,073.46