Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $33.88	Professional		$19.95	$25.12	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $63.10	Facility		$22.39	$33.88	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $41.69	Professional		$20.89	$25.70	$41.69
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 $109.65 / $125.89 / $128.82	Professional		$109.65	$125.89	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $57.54	Facility		$22.39	$33.88	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $79.43	Professional		$26.92	$41.69	$79.43