Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $17,695.00	Facility		$9,285.00	$10,900.00	$17,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.41 / $4,843.47 / $4,843.47	Professional		$733.41	$4,843.47	$4,843.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,127.55 / $1,307.52 / $6,926.18	Facility		$1,127.55	$1,307.52	$6,926.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,051.25 / $3,616.65 / $4,895.25	Professional		$3,051.25	$3,616.65	$4,895.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,307.52 / $1,307.52 / $6,926.18	Facility		$1,307.52	$1,307.52	$6,926.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,051.25 / $4,271.75 / $5,577.69	Professional		$3,051.25	$4,271.75	$5,577.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.30 / $2,262.19 / $6,850.30	Professional		$1,112.30	$2,262.19	$6,850.30