Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $33.11	Professional		$15.14	$25.12	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $60.26	Facility		$21.88	$36.31	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $37.15	Professional		$14.13	$28.18	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $134.90 / $181.97	Professional		$52.48	$134.90	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $61.66	Facility		$22.91	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $91.20	Professional		$38.02	$52.48	$91.20