Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $112.20	Professional		$87.10	$93.33	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $87.10 / $95.50	Facility		$40.74	$87.10	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $91.20	Professional		$77.62	$87.10	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $95.50	Facility		$54.95	$87.10	$95.50