Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $73.36 / $81.78	Professional		$66.68	$73.36	$81.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.87 / $69.51 / $98.14	Facility		$51.87	$69.51	$98.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $140.69 / $281.39	Professional		$91.40	$140.69	$281.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $69.51 / $98.14	Facility		$42.26	$69.51	$98.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $144.72 / $301.50	Professional		$100.50	$144.72	$301.50
United Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $171.83 / $176.18	Professional		$65.65	$171.83	$176.18