Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.74 / $299.14 / $548.72	Facility		$89.74	$299.14	$548.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $85.47 / $338.46	Professional		$85.47	$85.47	$338.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $122.22	Facility		$37.15	$37.15	$122.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $290.25 / $432.00	Professional		$270.00	$290.25	$432.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $44.59	Facility		$37.15	$37.15	$44.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $324.00 / $432.00	Professional		$258.00	$324.00	$432.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $184.90 / $300.45	Professional		$123.43	$184.90	$300.45