Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,812.01 / $2,812.01 / $2,812.01	Professional		$2,812.01	$2,812.01	$2,812.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $2,812.01 / $3,936.81	Facility		$37.60	$2,812.01	$3,936.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.25 / $1,568.70 / $4,114.00	Professional		$681.25	$1,568.70	$4,114.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $2,812.01 / $3,936.81	Facility		$37.60	$2,812.01	$3,936.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $2,805.00 / $4,170.10	Professional		$43.88	$2,805.00	$4,170.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.74 / $2,525.34 / $3,875.59	Professional		$1,093.74	$2,525.34	$3,875.59