Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $3,235.94	Professional		$851.14	$1,258.93	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,570.88	Facility		$3,235.94	$3,235.94	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $3,235.94	Professional		$851.14	$1,412.54	$3,235.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $10,471.29	Professional		$4,265.80	$4,466.84	$10,471.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $4,570.88	Facility		$2,137.96	$3,235.94	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,248.07 / $25,118.86	Professional		$1,621.81	$5,248.07	$25,118.86