Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $66.07	Professional		$33.11	$56.23	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $100.00	Facility		$38.90	$64.57	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $63.10	Professional		$41.69	$52.48	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $302.00	Professional		$104.71	$229.09	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $58.88 / $95.50	Facility		$38.90	$58.88	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $302.00	Professional		$83.18	$138.04	$302.00