Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $84.62 / $131.07	Professional		$47.79	$84.62	$131.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $98.86 / $205.84	Facility		$84.68	$98.86	$205.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $342.90 / $453.39	Professional		$195.42	$342.90	$453.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.67 / $98.86 / $205.84	Facility		$79.67	$98.86	$205.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $317.50 / $471.90	Professional		$195.42	$317.50	$471.90
United Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $211.92 / $503.31	Professional		$127.88	$211.92	$503.31