Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $100.00	Professional		$75.86	$87.10	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $158.49	Facility		$58.88	$97.72	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $107.15	Professional		$66.07	$87.10	$107.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $512.86	Professional		$331.13	$380.19	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $169.82	Facility		$63.10	$83.18	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $457.09	Professional		$213.80	$245.47	$457.09