Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Professional		$39.04	$39.04	$39.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $63.62 / $131.25	Professional		$63.62	$63.62	$131.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $93.75 / $137.25	Professional		$41.96	$93.75	$137.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $94.50 / $170.20	Professional		$90.00	$94.50	$170.20
United Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $98.61 / $98.61	Professional		$98.61	$98.61	$98.61