Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $38.88 / $92.23	Professional		$31.80	$38.88	$92.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.90 / $24.53 / $37.09	Professional	52	$15.90	$24.53	$37.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $83.30 / $108.29	Professional		$48.93	$83.30	$108.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $144.44 / $503.75	Professional		$48.90	$144.44	$503.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $48.93 / $503.75	Professional		$35.24	$48.93	$503.75
United Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $85.76 / $122.97	Professional		$75.04	$85.76	$122.97