Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.93 / $978.93 / $978.93	Facility		$978.93	$978.93	$978.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.25 / $1,924.17 / $1,924.17	Professional		$1,438.25	$1,924.17	$1,924.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $454.06 / $881.48 / $1,260.52	Facility		$454.06	$881.48	$1,260.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.09 / $365.09 / $521.54	Professional		$365.09	$365.09	$521.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.00 / $1,595.00 / $2,274.00	Professional		$1,375.00	$1,595.00	$2,274.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.06 / $454.06 / $454.06	Facility		$454.06	$454.06	$454.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $559.66 / $1,642.50 / $2,608.48	Professional		$559.66	$1,642.50	$2,608.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.28 / $1,028.26 / $1,852.52	Professional		$1,024.28	$1,028.26	$1,852.52