Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $72.44	Professional		$33.11	$43.65	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $97.72	Facility		$32.36	$50.12	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $72.44	Professional		$33.11	$47.86	$72.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $162.18	Professional		$144.54	$151.36	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $45.71 / $89.13	Facility		$33.11	$45.71	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $64.57	Professional		$45.71	$60.26	$64.57