Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.62 / $188.72 / $346.17	Facility		$56.62	$188.72	$346.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $53.92 / $53.92	Professional		$53.92	$53.92	$53.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $40.69 / $77.11	Facility		$40.69	$40.69	$77.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $164.70 / $223.26	Professional		$135.00	$164.70	$223.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $73.87 / $77.11	Facility		$53.92	$73.87	$77.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $162.00 / $219.00	Professional		$135.00	$162.00	$219.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $99.34 / $215.68	Professional		$38.97	$99.34	$215.68