Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $31.62 / $31.62	Facility		$22.91	$31.62	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $95.50	Professional		$31.62	$31.62	$95.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $72.44 / $72.44	Professional		$28.84	$72.44	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $30.90	Facility		$22.91	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $64.57 / $95.50	Professional		$19.05	$64.57	$95.50