Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,096.48 / $2,089.30	Facility		$223.87	$1,096.48	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $316.23	Professional		$75.86	$91.20	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $426.58 / $1,096.48	Facility		$95.50	$426.58	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $281.84 / $302.00	Professional		$89.13	$281.84	$302.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $363.08 / $436.52	Facility		$95.50	$363.08	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $457.09	Facility		$316.23	$316.23	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $281.84	Professional		$93.33	$190.55	$281.84