Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $102.68 / $126.34	Professional		$16.00	$102.68	$126.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $126.34 / $176.88	Facility		$75.47	$126.34	$176.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $200.54 / $415.80	Professional		$55.34	$200.54	$415.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $126.34 / $176.88	Facility		$84.77	$126.34	$176.88
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 $265.49 / $271.38 / $542.76	Professional		$265.49	$271.38	$542.76