Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,157.49 / $4,158.00 / $7,105.74	Professional		$4,157.49	$4,158.00	$7,105.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.98 / $2,848.11 / $5,136.25	Professional		$1,738.98	$2,848.11	$5,136.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,029.75 / $4,029.75 / $4,029.75	Professional		$4,029.75	$4,029.75	$4,029.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.28 / $1,738.98 / $2,728.69	Professional		$1,217.28	$1,738.98	$2,728.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,270.96 / $4,118.22 / $15,710.19	Professional		$2,270.96	$4,118.22	$15,710.19