Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $39.29 / $52.41	Professional		$15.82	$39.29	$52.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $47.55 / $85.75	Professional		$15.20	$47.55	$85.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $60.75 / $60.75	Professional		$60.75	$60.75	$60.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $15.20 / $23.76	Professional		$10.64	$15.20	$23.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $38.25 / $145.91	Professional		$25.44	$38.25	$145.91