Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.66 / $1,809.28 / $1,809.28	Professional		$753.66	$1,809.28	$1,809.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $816.47 / $1,248.28	Facility		$492.35	$816.47	$1,248.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $164.65 / $164.65	Professional		$164.65	$164.65	$164.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $887.34 / $1,929.00	Professional		$77.16	$887.34	$1,929.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $816.47 / $1,248.28	Facility		$492.35	$816.47	$1,248.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $115.92 / $202.75	Professional		$82.13	$115.92	$202.75
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $81.62 / $204.05	Professional		$73.40	$81.62	$204.05