Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $299.74 / $330.00	Professional		$250.80	$299.74	$330.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $314.73 / $458.60	Facility		$299.74	$314.73	$458.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $513.00 / $513.00	Professional		$137.83	$513.00	$513.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $300.00 / $458.60	Facility		$255.00	$300.00	$458.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Professional		$564.00	$564.00	$564.00