Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $294.98 / $541.08	Facility		$88.49	$294.98	$541.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $84.28 / $84.28	Professional		$84.28	$84.28	$84.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $94.08 / $120.52	Facility		$72.31	$94.08	$120.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $294.30 / $412.00	Professional		$257.50	$294.30	$412.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.28 / $94.08 / $120.52	Facility		$84.28	$94.08	$120.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $309.00 / $412.00	Professional		$247.20	$309.00	$412.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $227.55 / $457.62	Professional		$110.62	$227.55	$457.62