Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $64.57	Professional		$25.70	$25.70	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.11 / $158.49	Facility		$25.70	$33.11	$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 $25.70 / $37.15 / $177.83	Facility		$25.70	$37.15	$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