Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $25.12	Professional		$10.96	$15.85	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.78 / $34.67	Facility		$13.18	$17.78	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $60.26	Professional		$10.96	$15.85	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $67.61	Professional		$57.54	$60.26	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.85 / $30.90	Facility		$12.59	$15.85	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $60.26	Professional		$15.49	$22.39	$60.26