Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,897.14 / $25,858.00 / $25,858.00	Facility		$5,897.14	$25,858.00	$25,858.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,962.00 / $2,962.00 / $2,962.00	Facility		$2,962.00	$2,962.00	$2,962.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,678.39 / $4,678.39 / $4,678.39	Facility		$4,678.39	$4,678.39	$4,678.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,678.39 / $4,678.39 / $4,678.39	Facility		$4,678.39	$4,678.39	$4,678.39
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $683.00 / $3,572.00	Facility		$683.00	$683.00	$3,572.00