Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $54.95	Professional		$30.20	$38.90	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.95 / $83.18	Facility		$33.88	$54.95	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $52.48	Professional		$30.90	$40.74	$52.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $213.80	Professional		$93.33	$177.83	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $77.62	Facility		$30.20	$43.65	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $223.87	Professional		$72.44	$102.33	$223.87