Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,365.94 / $2,365.94 / $2,365.94	Professional		$2,365.94	$2,365.94	$2,365.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.25 / $706.25 / $706.25	Professional		$706.25	$706.25	$706.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.63 / $635.63 / $1,589.06	Professional		$635.63	$635.63	$1,589.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,942.19 / $1,942.19 / $1,942.19	Professional		$1,942.19	$1,942.19	$1,942.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,130.90 / $2,130.90 / $2,130.90	Professional		$2,130.90	$2,130.90	$2,130.90