Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,023.29	Professional		$549.54	$891.25	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $851.14 / $1,148.15	Facility		$407.38	$851.14	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $851.14 / $1,122.02	Professional		$407.38	$851.14	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $4,265.80	Professional		$1,380.38	$2,187.76	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,148.15	Facility		$549.54	$851.14	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,398.83 / $2,754.23	Professional		$794.33	$2,398.83	$2,754.23