Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,174.90	Professional		$630.96	$954.99	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,630.78	Facility		$2,511.89	$2,511.89	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,174.90 / $3,019.95	Professional		$630.96	$1,174.90	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $6,165.95	Professional		$3,548.13	$3,715.35	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,630.78	Facility		$1,584.89	$2,511.89	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,174.90	Professional		$831.76	$831.76	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $11,220.18	Professional		$1,348.96	$2,951.21	$11,220.18