Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.78 / $1,306.78 / $1,306.78	Professional		$1,306.78	$1,306.78	$1,306.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $417.62 / $1,000.64	Facility		$138.47	$417.62	$1,000.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.50 / $1,520.10 / $2,252.00	Professional		$1,407.50	$1,520.10	$2,252.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $417.62 / $1,790.29	Facility		$138.47	$417.62	$1,790.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $1,407.50 / $2,166.42	Professional		$165.23	$1,407.50	$2,166.42
United Facility/Professional Professional Modifier Low / Median / High Price $616.10 / $1,252.85 / $2,099.67	Professional		$616.10	$1,252.85	$2,099.67