Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.17 / $240.56 / $441.25	Facility		$72.17	$240.56	$441.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $272.17	Professional		$68.73	$68.73	$272.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.76 / $98.28	Facility		$0.76	$0.76	$98.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $248.40 / $332.85	Professional		$128.75	$248.40	$332.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.76 / $0.91	Facility		$0.76	$0.76	$0.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.60 / $259.50 / $346.00	Professional		$207.60	$259.50	$346.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $148.32 / $241.02	Professional		$98.88	$148.32	$241.02