Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,412.54	Professional		$239.88	$239.88	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $691.83	Facility		$239.88	$239.88	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $239.88 / $1,122.02	Professional		$60.26	$239.88	$1,122.02
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 $239.88 / $288.40 / $1,348.96	Facility		$239.88	$288.40	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26