Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,492.03 / $14,227.00 / $14,227.00	Facility		$5,492.03	$14,227.00	$14,227.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.00 / $2,178.00 / $2,178.00	Facility		$2,178.00	$2,178.00	$2,178.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.80 / $4,282.80 / $4,282.80	Facility		$4,282.80	$4,282.80	$4,282.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,282.80 / $4,282.80 / $4,282.80	Facility		$4,282.80	$4,282.80	$4,282.80
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $683.00 / $683.00	Facility		$683.00	$683.00	$683.00