Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $741.31	Professional		$229.09	$239.88	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $380.19	Facility		$239.88	$239.88	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $239.88 / $316.23	Professional		$60.26	$239.88	$316.23
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 / $275.42 / $426.58	Facility		$239.88	$275.42	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $60.26	Professional		$0.62	$0.62	$60.26