Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $74.27 / $136.22	Facility		$22.28	$74.27	$136.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $21.22 / $21.22	Professional		$21.22	$21.22	$21.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $10.34 / $30.34	Facility		$10.34	$10.34	$30.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $44.55 / $74.77	Professional		$34.02	$44.55	$74.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $29.07 / $30.34	Facility		$21.22	$29.07	$30.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $41.25 / $85.80	Professional		$33.75	$41.25	$85.80
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $24.91 / $54.08	Professional		$14.38	$24.91	$54.08