Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $34.67	Professional		$19.95	$25.12	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $58.88	Facility		$22.39	$33.11	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $39.81	Professional		$20.89	$25.12	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $109.65	Professional		$97.72	$104.71	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $54.95	Facility		$22.39	$33.11	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $79.43	Professional		$26.30	$40.74	$79.43