Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $30.88 / $31.93	Professional		$26.32	$30.88	$31.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $30.88 / $56.92	Facility		$22.32	$30.88	$56.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $65.09 / $116.25	Professional		$37.50	$65.09	$116.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $30.88 / $56.92	Facility		$23.16	$30.88	$56.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $65.09 / $141.00	Professional		$37.50	$65.09	$141.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $79.48 / $82.80	Professional		$28.38	$79.48	$82.80