Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $435.33 / $552.67	Professional		$60.11	$435.33	$552.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.11 / $254.41 / $663.22	Facility		$60.11	$254.41	$663.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $186.15 / $2,573.10	Professional		$87.60	$186.15	$2,573.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.11 / $461.51 / $663.22	Facility		$60.11	$461.51	$663.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $181.22 / $383.25	Professional		$72.50	$181.22	$383.25
United Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $193.66 / $1,184.89	Professional		$67.14	$193.66	$1,184.89