Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,337.08 / $4,337.08 / $4,337.08	Professional		$4,337.08	$4,337.08	$4,337.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.92 / $4,337.08 / $6,071.91	Facility		$266.92	$4,337.08	$6,071.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,478.75 / $12,425.40 / $20,708.00	Professional		$10,478.75	$12,425.40	$20,708.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.92 / $4,337.08 / $6,071.91	Facility		$266.92	$4,337.08	$6,071.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.30 / $15,531.00 / $20,708.00	Professional		$320.30	$15,531.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,907.16 / $14,020.47 / $27,796.56	Professional		$7,907.16	$14,020.47	$27,796.56