Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $44.67	Professional		$26.92	$39.81	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $46.77	Facility		$20.42	$33.88	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $46.77	Professional		$26.92	$37.15	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $165.96	Professional		$57.54	$97.72	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $35.48 / $46.77	Facility		$23.99	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $91.20 / $102.33	Professional		$35.48	$91.20	$102.33