Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $8.86 / $14.30	Facility		$8.86	$8.86	$14.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $35.10 / $50.00	Professional		$31.25	$35.10	$50.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.70 / $14.30	Facility		$10.00	$13.70	$14.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $37.50 / $56.75	Professional		$30.00	$37.50	$56.75
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $30.16 / $48.24	Professional		$14.22	$30.16	$48.24