Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.33 / $2,623.56 / $4,099.30	Facility		$1,452.33	$2,623.56	$4,099.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,389.31 / $2,623.56 / $4,040.74	Professional		$2,389.31	$2,623.56	$4,040.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.86 / $1,674.86 / $1,674.86	Facility		$1,674.86	$1,674.86	$1,674.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $314.66 / $314.66	Professional		$314.66	$314.66	$314.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.67 / $1,293.58 / $1,398.48	Facility		$1,223.67	$1,293.58	$1,398.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $786.65 / $786.65	Professional		$314.66	$786.65	$786.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,223.67 / $1,346.04 / $1,674.86	Facility		$1,223.67	$1,346.04	$1,674.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.46 / $961.46 / $961.46	Professional		$961.46	$961.46	$961.46
United Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $699.24 / $1,054.88	Professional		$349.62	$699.24	$1,054.88