Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.46 / $945.46 / $2,804.47	Facility		$945.46	$945.46	$2,804.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,666.91 / $3,081.01 / $11,529.50	Professional		$1,666.91	$3,081.01	$11,529.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.82 / $2,542.30 / $7,541.18	Facility		$396.82	$2,542.30	$7,541.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $452.68 / $1,801.68	Professional		$316.87	$452.68	$1,801.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,263.59 / $2,182.50 / $6,868.68	Professional		$1,263.59	$2,182.50	$6,868.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.82 / $396.82 / $1,126.57	Facility		$396.82	$396.82	$1,126.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $2,284.80 / $9,295.37	Professional		$1,170.00	$2,284.80	$9,295.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,295.00 / $4,525.29 / $7,845.53	Professional		$2,295.00	$4,525.29	$7,845.53