Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.11 / $605.11 / $605.11	Professional		$605.11	$605.11	$605.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.67 / $301.97 / $445.02	Facility		$190.67	$301.97	$445.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $450.00 / $477.60	Professional		$56.54	$450.00	$477.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.67 / $301.97 / $445.02	Facility		$190.67	$301.97	$445.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $54.92 / $100.30	Professional		$28.66	$54.92	$100.30