Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $126.71 / $237.86	Facility		$25.11	$126.71	$237.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $59.39	Professional		$10.34	$10.34	$59.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $52.98 / $52.98	Facility		$52.98	$52.98	$52.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $33.18 / $35.61	Professional		$9.94	$33.18	$35.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $42.58 / $50.72	Facility		$38.71	$42.58	$50.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $24.89 / $24.89	Professional		$24.89	$24.89	$24.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $42.84 / $52.98	Facility		$38.71	$42.84	$52.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $22.12 / $33.36	Professional		$10.98	$22.12	$33.36