Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $183.14 / $183.14	Professional		$183.14	$183.14	$183.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.14 / $256.39 / $261.89	Facility		$183.14	$256.39	$261.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $672.00 / $896.00	Professional		$590.00	$672.00	$896.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.14 / $256.39 / $261.89	Facility		$183.14	$256.39	$261.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $672.00 / $1,066.24	Professional		$590.00	$672.00	$1,066.24
United Facility/Professional Professional Modifier Low / Median / High Price $393.34 / $393.96 / $712.52	Professional		$393.34	$393.96	$712.52