Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $269.69 / $269.69	Professional		$269.69	$269.69	$269.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.66 / $385.66 / $385.66	Facility		$385.66	$385.66	$385.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.75 / $1,212.30 / $1,643.34	Professional		$848.75	$1,212.30	$1,643.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.66 / $385.66 / $385.66	Facility		$385.66	$385.66	$385.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.80 / $1,018.50 / $1,551.52	Professional		$814.80	$1,018.50	$1,551.52
United Facility/Professional Professional Modifier Low / Median / High Price $360.81 / $580.34 / $872.76	Professional		$360.81	$580.34	$872.76