Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $114.82	Professional		$85.11	$87.10	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $93.33	Facility		$72.44	$87.10	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $87.10	Professional		$81.28	$87.10	$87.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $93.33	Facility		$72.44	$87.10	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98