Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $266.77 / $489.33	Facility		$80.03	$266.77	$489.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $76.22 / $76.22	Professional		$69.97	$76.22	$76.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $76.22 / $108.99	Facility		$74.15	$76.22	$108.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.30 / $260.55 / $353.19	Professional		$212.30	$260.55	$353.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $76.22 / $108.99	Facility		$74.15	$76.22	$108.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $289.50 / $371.33	Professional		$88.98	$289.50	$371.33
United Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $185.38 / $315.14	Professional		$70.80	$185.38	$315.14