Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $4,168.69	Professional		$831.76	$1,288.25	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,162.28	Professional		$2,454.71	$2,951.21	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,073.80 / $11,220.18	Professional		$3,981.07	$4,073.80	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,754.23	Professional		$1,230.27	$1,737.80	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $15,848.93	Professional		$2,290.87	$3,890.45	$15,848.93