Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $28.84	Professional		$19.05	$23.99	$28.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $50.12	Facility		$25.12	$29.51	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $28.84	Professional		$22.91	$25.12	$28.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $138.04	Professional		$60.26	$104.71	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $35.48 / $43.65	Facility		$23.99	$35.48	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $63.10 / $151.36	Professional		$23.44	$63.10	$151.36