Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $295.12	Professional		$147.91	$223.87	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $416.87	Facility		$165.96	$295.12	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $190.55 / $295.12	Professional		$60.26	$190.55	$295.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $416.87	Facility		$165.96	$295.12	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $190.55	Professional		$60.26	$60.26	$190.55