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 $1,211.72 / $1,211.72 / $1,211.72	Professional		$1,211.72	$1,211.72	$1,211.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $837.70 / $1,010.12 / $1,732.76	Facility		$837.70	$1,010.12	$1,732.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,459.05 / $3,539.45 / $4,467.03	Professional		$2,459.05	$3,539.45	$4,467.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.12 / $1,010.12 / $1,732.76	Facility		$1,010.12	$1,010.12	$1,732.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,459.05 / $4,339.50 / $6,610.51	Professional		$2,459.05	$4,339.50	$6,610.51
United Facility/Professional Facility Modifier Low / Median / High Price $10,319.42 / $10,319.42 / $10,319.42	Facility		$10,319.42	$10,319.42	$10,319.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,535.03 / $2,611.82 / $7,909.01	Professional		$1,535.03	$2,611.82	$7,909.01