Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.84 / $116.84 / $116.84	Facility		$116.84	$116.84	$116.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $282.72 / $282.72	Professional		$212.37	$282.72	$282.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $105.22 / $150.46	Facility		$56.37	$105.22	$150.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $51.87 / $74.09	Professional		$51.87	$51.87	$74.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $226.80 / $324.00	Professional		$210.00	$226.80	$324.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $56.37 / $56.37	Facility		$56.37	$56.37	$56.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $229.50 / $390.32	Professional		$68.94	$229.50	$390.32
United Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $128.36 / $213.81	Professional		$118.22	$128.36	$213.81