Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.48 / $563.27 / $1,663.07	Facility		$507.48	$563.27	$1,663.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.69 / $345.06 / $875.00	Professional		$313.69	$345.06	$875.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $729.63 / $729.63 / $729.63	Facility		$729.63	$729.63	$729.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $270.32 / $386.18	Professional		$270.32	$270.32	$386.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.58 / $538.58 / $538.58	Professional		$538.58	$538.58	$538.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $729.63 / $729.63 / $729.63	Facility		$729.63	$729.63	$729.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $443.36 / $443.36	Professional		$270.32	$443.36	$443.36
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $538.58 / $724.28	Professional		$359.05	$538.58	$724.28