Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $111.22	Professional		$25.01	$25.01	$111.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $70.73 / $109.31	Professional		$33.99	$70.73	$109.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $102.60 / $102.60	Professional		$34.72	$102.60	$102.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $32.61 / $70.08	Professional		$24.99	$32.61	$70.08
United Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $59.38 / $141.03	Professional		$25.75	$59.38	$141.03