Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $67.87 / $67.87	Professional		$67.87	$67.87	$67.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $60.78	Professional		$20.26	$20.26	$60.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $45.59	Professional		$18.23	$18.23	$45.59
United Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $61.13 / $61.13	Professional		$61.13	$61.13	$61.13