Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.49 / $241.49 / $241.49	Professional		$241.49	$241.49	$241.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.33 / $345.33 / $345.33	Facility		$345.33	$345.33	$345.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $703.35 / $955.26	Professional		$652.50	$703.35	$955.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.33 / $345.33 / $345.33	Facility		$345.33	$345.33	$345.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $651.25 / $910.50 / $1,387.00	Professional		$651.25	$910.50	$1,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.61 / $518.86 / $780.30	Professional		$322.61	$518.86	$780.30