Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $45.34 / $47.04	Professional		$40.69	$45.34	$47.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $39.97 / $56.45	Facility		$23.96	$39.97	$56.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $79.80 / $164.70	Professional		$55.75	$79.80	$164.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $39.97 / $56.45	Facility		$23.96	$39.97	$56.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $82.08 / $171.00	Professional		$57.00	$82.08	$171.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $97.34 / $101.40	Professional		$37.08	$97.34	$101.40