Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $83.02 / $152.28	Facility		$24.91	$83.02	$152.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Professional		$23.72	$23.72	$23.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $92.55 / $111.06	Facility		$19.67	$92.55	$111.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $78.30 / $124.00	Professional		$73.75	$78.30	$124.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $92.55 / $111.06	Facility		$23.72	$92.55	$111.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $93.00 / $124.00	Professional		$69.59	$93.00	$124.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $57.95 / $140.02	Professional		$22.74	$57.95	$140.02