Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $32.42 / $114.63	Facility		$32.42	$32.42	$114.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $32.75 / $32.75	Professional		$20.14	$32.75	$32.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $46.83 / $46.83	Facility		$46.83	$46.83	$46.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $33.96 / $53.37	Facility		$33.96	$33.96	$53.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $46.83 / $80.06	Facility		$33.96	$46.83	$80.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $29.48 / $39.64	Professional		$19.64	$29.48	$39.64