Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $53.86 / $55.01	Facility		$38.47	$53.86	$55.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $145.38 / $274.30	Professional		$75.67	$145.38	$274.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $53.86 / $55.01	Facility		$38.47	$53.86	$55.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $189.90 / $502.18	Professional		$10.33	$189.90	$502.18
United Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $185.56 / $329.37	Professional		$111.95	$185.56	$329.37