Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $48.98	Professional		$37.15	$43.65	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $43.65 / $52.48	Facility		$33.88	$43.65	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $51.29	Professional		$30.20	$41.69	$51.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $169.82	Professional		$70.79	$120.23	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $74.13	Facility		$33.88	$50.12	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $125.89	Professional		$42.66	$93.33	$125.89