Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $44.67	Professional		$26.92	$30.90	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.65 / $190.55	Facility		$28.18	$43.65	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $44.67	Professional		$19.95	$28.18	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $120.23	Professional		$43.65	$74.13	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $190.55	Facility		$25.12	$32.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $75.86 / $89.13	Professional		$29.51	$75.86	$89.13