Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,163.43 / $10,163.43 / $10,163.43	Professional		$10,163.43	$10,163.43	$10,163.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $3,033.86	Professional		$3,033.86	$3,033.86	$3,033.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,730.47 / $2,730.47 / $6,826.19	Professional		$2,730.47	$2,730.47	$6,826.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,343.11 / $8,343.11 / $8,343.11	Professional		$8,343.11	$8,343.11	$8,343.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $6,067.72 / $9,153.79	Professional		$3,033.86	$6,067.72	$9,153.79