Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $245.47	Professional		$12.88	$19.05	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $30.20	Facility		$12.30	$20.42	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $199.53	Professional		$12.02	$15.14	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $91.20	Professional		$32.36	$69.18	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $120.23	Facility		$12.30	$24.55	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $50.12	Professional		$22.91	$22.91	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $69.18	Professional		$22.39	$32.36	$69.18