Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.17	Facility		$0.12	$0.12	$0.17
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 $0.12 / $0.12 / $0.17	Facility		$0.12	$0.12	$0.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00