Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.27 / $374.22 / $686.43	Facility		$112.27	$374.22	$686.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.03 / $356.03 / $356.03	Professional		$356.03	$356.03	$356.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $301.87 / $387.22	Facility		$43.34	$301.87	$387.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.25 / $1,210.95 / $1,794.00	Professional		$1,121.25	$1,210.95	$1,794.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $322.68 / $487.76	Facility		$43.34	$322.68	$487.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $1,121.25 / $1,725.83	Professional		$52.01	$1,121.25	$1,725.83
United Facility/Professional Professional Modifier Low / Median / High Price $490.74 / $968.04 / $1,371.39	Professional		$490.74	$968.04	$1,371.39