Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,820.00 / $9,774.00 / $14,552.94	Facility		$6,820.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,303.73 / $3,303.73 / $3,303.73	Professional		$3,303.73	$3,303.73	$3,303.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.98 / $3,303.73 / $4,625.22	Facility		$382.98	$3,303.73	$4,625.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,522.50 / $2,988.90 / $4,833.39	Professional		$2,522.50	$2,988.90	$4,833.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.98 / $3,303.73 / $4,625.22	Facility		$382.98	$3,303.73	$4,625.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.58 / $3,295.50 / $4,899.31	Professional		$459.58	$3,295.50	$4,899.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,887.64 / $1,978.92 / $4,551.52	Professional		$1,887.64	$1,978.92	$4,551.52