Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $389.05	Professional		$239.88	$323.59	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $281.84 / $457.09	Facility		$77.62	$281.84	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $288.40 / $549.54	Professional		$60.26	$288.40	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $10,000.00	Facility		$43.65	$51.29	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $10,000.00	Professional		$51.29	$51.29	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $288.40 / $549.54	Facility		$77.62	$288.40	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $61.66	Professional		$36.31	$53.70	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.11 / $1,202.26	Facility		$23.44	$33.11	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $66.07	Professional		$20.42	$28.18	$66.07