Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.82 / $1,046.08 / $1,918.81	Facility		$313.82	$1,046.08	$1,918.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $256.64 / $298.88	Professional		$144.13	$256.64	$298.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.61 / $298.88 / $427.40	Facility		$188.61	$298.88	$427.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.28 / $1,040.84 / $1,425.45	Professional		$643.28	$1,040.84	$1,425.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.61 / $298.88 / $427.40	Facility		$188.61	$298.88	$427.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $665.21 / $1,096.50 / $1,462.00	Professional		$665.21	$1,096.50	$1,462.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.87 / $643.02 / $1,773.67	Professional		$387.87	$643.02	$1,773.67