Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,276.15 / $9,813.00 / $14,552.94	Facility		$3,276.15	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.70 / $6,292.53 / $6,292.53	Professional		$1,114.70	$6,292.53	$6,292.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,386.09 / $1,672.15 / $8,998.32	Facility		$1,386.09	$1,672.15	$8,998.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,748.65 / $3,298.38 / $7,926.38	Professional		$2,748.65	$3,298.38	$7,926.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,085.00 / $4,588.64 / $6,220.17	Professional		$4,085.00	$4,588.64	$6,220.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,672.15 / $1,672.15 / $8,998.32	Facility		$1,672.15	$1,672.15	$8,998.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,552.30 / $5,550.60 / $7,494.80	Professional		$1,552.30	$5,550.60	$7,494.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.13 / $3,011.76 / $9,120.09	Professional		$1,320.13	$3,011.76	$9,120.09