Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $45.76 / $48.30	Professional		$38.68	$45.76	$48.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $45.76 / $57.96	Facility		$34.84	$45.76	$57.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $81.90 / $156.60	Professional		$58.00	$81.90	$156.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $45.76 / $57.96	Facility		$36.22	$45.76	$57.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $69.50 / $177.00	Professional		$50.24	$69.50	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $99.88 / $104.04	Professional		$39.72	$99.88	$104.04