Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.51 / $541.51 / $974.72	Professional		$541.51	$541.51	$974.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $79.81 / $774.36	Facility		$79.81	$79.81	$774.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.20 / $205.20 / $205.20	Professional		$205.20	$205.20	$205.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.25 / $606.15 / $1,997.11	Professional		$561.25	$606.15	$1,997.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $79.81 / $95.78	Facility		$79.81	$79.81	$95.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $1,036.00 / $1,997.11	Professional		$95.78	$1,036.00	$1,997.11
United Facility/Professional Professional Modifier Low / Median / High Price $487.39 / $1,180.83 / $2,127.82	Professional		$487.39	$1,180.83	$2,127.82