Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $60.93 / $60.93	Professional		$60.93	$60.93	$60.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $72.09 / $87.13	Facility		$60.93	$72.09	$87.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $232.20 / $300.00	Professional		$225.00	$232.20	$300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $72.09 / $87.13	Facility		$60.93	$72.09	$87.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $225.00 / $357.00	Professional		$86.51	$225.00	$357.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $131.74 / $238.27	Professional		$131.56	$131.74	$238.27