Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $117.49	Professional		$79.43	$79.43	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $169.82	Facility		$117.49	$117.49	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $117.49	Professional		$60.26	$79.43	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $169.82	Facility		$117.49	$117.49	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $199.53	Professional		$194.98	$194.98	$199.53