Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,230.27	Facility		$676.08	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $144.54	Professional		$117.49	$123.03	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $1,230.27	Facility		$123.03	$194.98	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $194.98	Professional		$60.26	$120.23	$194.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $3,467.37	Facility		$199.53	$199.53	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $275.42	Facility		$125.89	$177.83	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $144.54	Professional		$97.72	$97.72	$144.54