Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.34 / $763.34 / $763.34	Professional		$763.34	$763.34	$763.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.58 / $1,091.58 / $1,091.58	Facility		$1,091.58	$1,091.58	$1,091.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,268.75 / $2,594.69 / $3,846.66	Professional		$2,268.75	$2,594.69	$3,846.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,045.78 / $1,045.78 / $1,091.58	Facility		$1,045.78	$1,045.78	$1,091.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,268.75 / $2,728.50 / $4,260.20	Professional		$2,268.75	$2,728.50	$4,260.20
United Facility/Professional Professional Modifier Low / Median / High Price $786.03 / $1,736.01 / $6,622.53	Professional		$786.03	$1,736.01	$6,622.53