Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.26 / $7.26	Professional		$7.26	$7.26	$7.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $7.26 / $7.26	Facility		$7.26	$7.26	$7.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $103.65	Professional		$6.57	$6.57	$103.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $6.57	Professional		$6.57	$6.57	$6.57