Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.90 / $1,218.85 / $1,306.78	Professional		$1,217.90	$1,218.85	$1,306.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $322.68 / $1,000.64	Facility		$43.34	$322.68	$1,000.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.50 / $1,210.95 / $1,725.83	Professional		$812.50	$1,210.95	$1,725.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $322.68 / $1,790.29	Facility		$43.34	$322.68	$1,790.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $1,121.25 / $1,725.83	Professional		$52.01	$1,121.25	$1,725.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.76 / $3,136.26 / $5,256.07	Professional		$1,384.76	$3,136.26	$5,256.07