Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $41.67 / $50.97	Professional		$29.25	$41.67	$50.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $55.00 / $70.84	Professional		$33.78	$55.00	$70.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $91.80 / $91.80	Professional		$31.08	$91.80	$91.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $29.17 / $42.24	Professional		$22.35	$29.17	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $51.32 / $102.64	Professional		$28.98	$51.32	$102.64