Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $126.67 / $232.34	Facility		$38.00	$126.67	$232.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $143.31	Professional		$36.19	$36.19	$143.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $410.86 / $1,140.77	Facility		$51.75	$410.86	$1,140.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $147.15 / $4,915.50	Professional		$113.75	$147.15	$4,915.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.81 / $422.81 / $507.37	Facility		$422.81	$422.81	$507.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $136.50 / $206.57	Professional		$109.20	$136.50	$206.57
United Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $78.88 / $128.18	Professional		$52.60	$78.88	$128.18