Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $7.60	Professional		$7.60	$7.60	$7.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $7.80 / $20.00	Facility		$4.88	$7.80	$20.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $52.00 / $52.00	Professional		$48.00	$52.00	$52.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $7.80 / $20.00	Facility		$4.88	$7.80	$20.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $52.00 / $52.00	Professional		$50.00	$52.00	$52.00