Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $45.30 / $130.10	Professional		$35.47	$45.30	$130.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $93.00 / $119.78	Professional		$45.60	$93.00	$119.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $152.55 / $152.55	Professional		$51.64	$152.55	$152.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $45.60 / $62.70	Professional		$37.09	$45.60	$62.70
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $76.34 / $138.07	Professional		$74.70	$76.34	$138.07