Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $4,265.80	Facility		$1,513.56	$2,754.23	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $1,174.90	Professional		$281.84	$331.13	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,073.80	Facility		$2,511.89	$2,511.89	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $2,511.89	Professional		$281.84	$338.84	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,412.54	Facility		$1,230.27	$1,288.25	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $691.83 / $1,047.13	Professional		$208.93	$691.83	$1,047.13