Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $540.00 / $544.14	Facility		$540.00	$540.00	$544.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $738.00	Professional		$50.50	$72.50	$738.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $369.00 / $780.00	Professional		$264.45	$369.00	$780.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $510.00 / $612.50	Professional		$450.50	$510.00	$612.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $475.00 / $610.00	Professional		$348.00	$475.00	$610.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $90.00 / $120.00	Professional		$70.00	$90.00	$120.00