Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $57.99 / $57.99	Professional		$57.99	$57.99	$57.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $54.57	Professional		$18.19	$18.19	$54.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $15.98 / $39.96	Professional		$15.98	$15.98	$39.96
United Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $45.62 / $45.62	Professional		$45.62	$45.62	$45.62