Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $33.11	Professional		$12.88	$22.91	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.44 / $47.86	Facility		$18.62	$23.44	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $60.26	Professional		$12.88	$22.91	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Professional		$69.18	$69.18	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.39 / $42.66	Facility		$18.20	$22.39	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $60.26	Professional		$18.62	$26.30	$60.26