Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.85 / $387.85 / $675.53	Facility		$387.85	$387.85	$675.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.15 / $859.63 / $1,492.72	Professional		$685.15	$859.63	$1,492.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.27 / $1,023.76 / $1,783.18	Facility		$164.27	$1,023.76	$1,783.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $236.74 / $1,963.92	Professional		$125.35	$236.74	$1,963.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.10 / $890.00 / $1,364.12	Professional		$521.10	$890.00	$1,364.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.27 / $164.27 / $281.39	Facility		$164.27	$164.27	$281.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $758.00 / $1,364.12	Professional		$285.64	$758.00	$1,364.12
United Facility/Professional Professional Modifier Low / Median / High Price $619.49 / $953.20 / $2,055.92	Professional		$619.49	$953.20	$2,055.92