Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,031.00 / $3,031.00 / $3,031.00	Professional		$3,031.00	$3,031.00	$3,031.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,334.33 / $4,334.33 / $4,334.33	Facility		$4,334.33	$4,334.33	$4,334.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,545.00 / $2,660.85 / $3,725.88	Professional		$2,545.00	$2,660.85	$3,725.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,334.33 / $4,334.33 / $4,334.33	Facility		$4,334.33	$4,334.33	$4,334.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,365.19 / $2,463.75 / $3,212.73	Professional		$2,365.19	$2,463.75	$3,212.73
United Facility/Professional Professional Modifier Low / Median / High Price $3,971.91 / $6,427.06 / $9,643.68	Professional		$3,971.91	$6,427.06	$9,643.68