Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $512.86 / $645.65	Professional		$85.11	$512.86	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $467.74 / $741.31	Facility		$30.20	$467.74	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $741.31	Professional		$79.43	$512.86	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $1,479.11	Professional		$75.86	$128.82	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $512.86 / $741.31	Facility		$39.81	$512.86	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $125.89 / $194.98	Professional		$47.86	$125.89	$194.98