Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $37.07 / $37.07	Professional		$37.07	$37.07	$37.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $53.01	Facility		$36.65	$36.65	$53.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $135.00 / $158.05	Professional		$52.50	$135.00	$158.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $50.79 / $53.01	Facility		$37.07	$50.79	$53.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $80.81 / $138.00	Professional		$52.50	$80.81	$138.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $56.43 / $103.46	Professional		$17.68	$56.43	$103.46