Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.33 / $676.16 / $903.87	Professional		$334.33	$676.16	$903.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $331.55 / $427.04	Professional		$204.78	$331.55	$427.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $579.15 / $579.15	Professional		$196.05	$579.15	$579.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $185.05 / $308.22	Professional		$141.63	$185.05	$308.22
United Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $376.52 / $680.98	Professional		$203.06	$376.52	$680.98