Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $354.81	Professional		$120.23	$134.90	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $128.82 / $426.58	Facility		$112.20	$128.82	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $223.87	Facility		$112.20	$147.91	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $125.89	Professional		$60.26	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $389.05	Professional		$125.89	$190.55	$389.05