Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $49.62 / $51.72	Professional		$44.32	$49.62	$51.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $48.69 / $62.06	Facility		$37.51	$48.69	$62.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $98.00 / $175.00	Professional		$63.00	$98.00	$175.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $48.69 / $62.06	Facility		$38.79	$48.69	$62.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $98.00 / $213.00	Professional		$58.43	$98.00	$213.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $107.40 / $125.62	Professional		$41.77	$107.40	$125.62