Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,796.47 / $2,796.47 / $6,175.77	Professional		$2,796.47	$2,796.47	$6,175.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.40 / $2,712.24 / $4,891.25	Professional		$1,436.40	$2,712.24	$4,891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,859.65 / $3,859.65 / $3,859.65	Professional		$3,859.65	$3,859.65	$3,859.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,005.48 / $1,436.40 / $2,245.32	Professional		$1,005.48	$1,436.40	$2,245.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.26 / $2,494.04 / $13,653.63	Professional		$1,218.26	$2,494.04	$13,653.63