Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $331.13	Professional		$223.87	$223.87	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $602.56	Professional		$177.83	$302.00	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $316.23 / $489.78	Professional		$102.33	$316.23	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $147.91	Facility		$97.72	$97.72	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $204.17 / $436.52	Professional		$75.86	$204.17	$436.52