Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $346.74	Professional		$69.18	$109.65	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $181.97 / $416.87	Facility		$131.83	$181.97	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $354.81	Facility		$107.15	$151.36	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $380.19	Professional		$125.89	$190.55	$380.19