Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,059.63 / $3,732.80 / $32,228.70	Professional		$2,059.63	$3,732.80	$32,228.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $554.79 / $5,655.83	Professional		$388.36	$554.79	$5,655.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,443.15 / $2,604.64 / $22,385.74	Professional		$1,443.15	$2,604.64	$22,385.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,460.00 / $3,794.16 / $26,622.54	Professional		$1,460.00	$3,794.16	$26,622.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,732.00 / $9,550.98 / $21,930.78	Professional		$2,732.00	$9,550.98	$21,930.78