Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.95 / $124.88	Professional		$84.19	$84.95	$124.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $89.20 / $125.20	Facility		$84.95	$89.20	$125.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $195.99 / $195.99	Professional		$195.99	$195.99	$195.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $118.93	Facility		$84.95	$84.95	$118.93