Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $513.47 / $748.94	Professional		$85.68	$513.47	$748.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $748.94 / $898.73	Facility		$52.61	$748.94	$898.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $119.52 / $1,483.65	Professional		$72.00	$119.52	$1,483.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $748.94 / $898.73	Facility		$52.61	$748.94	$898.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $105.84 / $829.90	Professional		$72.00	$105.84	$829.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $126.90 / $193.92	Professional		$47.64	$126.90	$193.92