Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $45.71	Professional		$30.90	$38.02	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $47.86	Facility		$30.90	$42.66	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $47.86	Professional		$28.18	$38.02	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $154.88	Professional		$58.88	$100.00	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $57.54	Facility		$34.67	$45.71	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $104.71	Professional		$37.15	$89.13	$104.71