Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $142.71 / $142.71	Professional		$103.40	$142.71	$142.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $199.79 / $1,017.78	Facility		$142.71	$199.79	$1,017.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.75 / $450.95 / $738.00	Professional		$388.75	$450.95	$738.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $199.79 / $1,017.78	Facility		$142.71	$199.79	$1,017.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.50 / $553.50 / $878.22	Professional		$417.50	$553.50	$878.22
United Facility/Professional Professional Modifier Low / Median / High Price $318.42 / $477.63 / $732.37	Professional		$318.42	$477.63	$732.37