Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $282.22 / $282.22	Professional		$165.77	$282.22	$282.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.77 / $282.22 / $395.11	Facility		$165.77	$282.22	$395.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $166.58 / $237.98	Professional		$166.58	$166.58	$237.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $474.00 / $489.00	Professional		$414.00	$474.00	$489.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.77 / $282.22 / $395.11	Facility		$165.77	$282.22	$395.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.98 / $474.00 / $489.00	Professional		$237.98	$474.00	$489.00