Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $233.27 / $233.27	Professional		$137.09	$233.27	$233.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $233.27 / $326.58	Facility		$137.09	$233.27	$326.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $142.31 / $203.30	Professional		$142.31	$142.31	$203.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $225.00 / $226.00	Professional		$218.00	$225.00	$226.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $233.27 / $326.58	Facility		$137.09	$233.27	$326.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $225.00 / $226.00	Professional		$203.30	$225.00	$226.00