Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $100.00	Professional		$5.01	$5.01	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $7.94 / $158.49	Facility		$5.62	$7.94	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $30.20 / $177.83	Facility		$5.62	$30.20	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $125.89	Professional		$60.26	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $389.05	Professional		$125.89	$190.55	$389.05