Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $81.28	Professional		$57.54	$70.79	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $117.49	Facility		$40.74	$81.28	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $85.11	Professional		$40.74	$69.18	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $338.84	Professional		$288.40	$295.12	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $81.28 / $117.49	Facility		$41.69	$81.28	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $263.03	Professional		$87.10	$144.54	$263.03