Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,311.62 / $10,900.00 / $14,552.94	Facility		$8,311.62	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,144.81 / $13,144.81 / $17,912.50	Professional		$13,144.81	$13,144.81	$17,912.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,519.20 / $13,144.81 / $18,797.08	Facility		$3,519.20	$13,144.81	$18,797.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,103.30 / $18,446.40 / $23,022.22	Professional		$7,103.30	$18,446.40	$23,022.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,980.00 / $12,736.80 / $18,196.20	Professional		$10,980.00	$12,736.80	$18,196.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,519.20 / $13,144.81 / $18,797.08	Facility		$3,519.20	$13,144.81	$18,797.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,942.98 / $12,534.00 / $18,511.23	Professional		$3,942.98	$12,534.00	$18,511.23
United Facility/Professional Professional Modifier Low / Median / High Price $7,622.32 / $7,663.28 / $17,531.34	Professional		$7,622.32	$7,663.28	$17,531.34