Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.12 / $70.12 / $70.12	Facility		$70.12	$70.12	$70.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $57.33 / $57.33	Professional		$31.27	$57.33	$57.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $57.34 / $82.00	Facility		$33.40	$57.34	$82.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $90.21 / $141.99	Professional		$44.09	$90.21	$141.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $129.60 / $129.60	Professional		$43.87	$129.60	$129.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $45.54 / $80.28	Facility		$27.77	$45.54	$80.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $40.85 / $80.86	Professional		$31.60	$40.85	$80.86
United Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $70.48 / $164.02	Professional		$32.60	$70.48	$164.02