Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $54.95	Professional		$30.90	$41.69	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $66.07	Facility		$30.20	$45.71	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $54.95	Professional		$30.90	$42.66	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $208.93	Professional		$89.13	$134.90	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $42.66 / $63.10	Facility		$23.44	$42.66	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $223.87	Professional		$72.44	$102.33	$223.87