Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $376.71 / $690.99	Facility		$113.01	$376.71	$690.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Professional		$107.63	$107.63	$107.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Facility		$153.91	$153.91	$153.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $330.00 / $430.05	Professional		$224.40	$330.00	$430.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Facility		$153.91	$153.91	$153.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $396.00 / $603.24	Professional		$224.40	$396.00	$603.24
United Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $232.34 / $355.05	Professional		$140.08	$232.34	$355.05