Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $102.68 / $126.34	Professional		$37.11	$102.68	$126.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $114.72 / $145.29	Facility		$76.43	$114.72	$145.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $200.54 / $442.80	Professional		$104.40	$200.54	$442.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $117.03 / $145.29	Facility		$84.77	$117.03	$145.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $231.77 / $509.85	Professional		$139.52	$231.77	$509.85
United Facility/Professional Professional Modifier Low / Median / High Price $244.24 / $271.38 / $542.76	Professional		$244.24	$271.38	$542.76