Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.33 / $664.44 / $1,218.77	Facility		$199.33	$664.44	$1,218.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $189.84 / $751.77	Professional		$189.84	$189.84	$751.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.47 / $461.21 / $1,249.81	Facility		$271.47	$461.21	$1,249.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $715.50 / $5,385.30	Professional		$596.25	$715.50	$5,385.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.78 / $448.78 / $538.54	Facility		$448.78	$448.78	$538.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.60 / $715.50 / $954.00	Professional		$573.60	$715.50	$954.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $409.06 / $664.72	Professional		$273.08	$409.06	$664.72