Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $35.70 / $38.02	Professional		$34.97	$35.70	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $38.02 / $60.00	Facility		$24.38	$38.02	$60.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $66.50 / $136.35	Professional		$46.16	$66.50	$136.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $38.02 / $60.00	Facility		$21.26	$38.02	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $66.50 / $142.50	Professional		$43.04	$66.50	$142.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $86.10 / $103.26	Professional		$22.53	$86.10	$103.26