Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.49 / $250.49 / $250.49	Facility		$250.49	$250.49	$250.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.59 / $455.73 / $543.88	Professional		$450.59	$455.73	$543.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.07 / $455.73 / $651.69	Facility		$104.07	$455.73	$651.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $512.40 / $684.71	Professional		$197.33	$512.40	$684.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $353.80 / $528.00	Professional		$305.00	$353.80	$528.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.07 / $455.73 / $651.69	Facility		$104.07	$455.73	$651.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $364.50 / $532.97	Professional		$113.53	$364.50	$532.97
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $351.72 / $586.20	Professional		$211.36	$351.72	$586.20