Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.26 / $540.26 / $1,647.91	Facility		$540.26	$540.26	$1,647.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.45 / $1,749.49 / $6,892.56	Professional		$947.45	$1,749.49	$6,892.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $1,452.77 / $4,431.17	Facility		$227.10	$1,452.77	$4,431.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $257.45 / $1,075.40	Professional		$180.22	$257.45	$1,075.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.30 / $2,213.75 / $4,088.50	Professional		$726.30	$2,213.75	$4,088.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $227.10 / $656.84	Facility		$227.10	$227.10	$656.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $672.50 / $1,297.09 / $5,568.55	Professional		$672.50	$1,297.09	$5,568.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.00 / $1,790.92 / $4,690.21	Professional		$1,304.00	$1,790.92	$4,690.21