Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $91.20	Professional		$40.74	$48.98	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $131.83	Facility		$29.51	$91.20	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $97.72	Professional		$40.74	$48.98	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $331.13	Professional		$186.21	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $131.83	Facility		$29.51	$91.20	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $194.98	Professional		$64.57	$107.15	$194.98