Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.79 / $774.46 / $1,065.24	Facility		$309.79	$774.46	$1,065.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.67 / $848.84 / $2,473.10	Professional		$771.67	$848.84	$2,473.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,265.98 / $1,265.98 / $1,265.98	Facility		$1,265.98	$1,265.98	$1,265.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $718.20 / $718.20 / $1,026.00	Professional		$718.20	$718.20	$1,026.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.86 / $1,324.86 / $1,324.86	Professional		$1,324.86	$1,324.86	$1,324.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,265.98 / $1,265.98 / $1,265.98	Facility		$1,265.98	$1,265.98	$1,265.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.20 / $1,212.60 / $1,212.60	Professional		$718.20	$1,212.60	$1,212.60
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $1,324.86 / $1,781.67	Professional		$883.24	$1,324.86	$1,781.67