Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,865.00 / $2,865.00 / $5,310.47	Facility		$2,865.00	$2,865.00	$5,310.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,805.00 / $1,805.00 / $1,805.00	Facility		$1,805.00	$1,805.00	$1,805.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,000.00 / $7,000.00 / $7,000.00	Facility		$7,000.00	$7,000.00	$7,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,762.50 / $3,762.50 / $3,762.50	Facility		$3,762.50	$3,762.50	$3,762.50
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $1,540.00 / $2,546.00	Facility		$683.00	$1,540.00	$2,546.00