Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $81.78 / $81.78	Professional		$81.78	$81.78	$81.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $99.35 / $116.95	Facility		$81.78	$99.35	$116.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.50 / $298.35 / $342.20	Professional		$286.50	$298.35	$342.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $99.35 / $116.95	Facility		$81.78	$99.35	$116.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $276.25 / $392.70	Professional		$119.22	$276.25	$392.70
United Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $144.97 / $262.20	Professional		$144.74	$144.97	$262.20