Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.65 / $445.65 / $445.65	Facility		$445.65	$445.65	$445.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.65 / $662.06 / $1,227.00	Professional		$445.65	$662.06	$1,227.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.56 / $185.56 / $701.84	Facility		$185.56	$185.56	$701.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $235.13	Professional		$164.59	$164.59	$235.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $659.10 / $1,081.74	Professional		$596.25	$659.10	$1,081.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.56 / $185.56 / $222.67	Facility		$185.56	$185.56	$222.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $595.00 / $1,071.44	Professional		$228.53	$595.00	$1,071.44
United Facility/Professional Professional Modifier Low / Median / High Price $428.36 / $554.48 / $1,076.83	Professional		$428.36	$554.48	$1,076.83