Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.21	Facility		$0.15	$0.15	$0.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $3,495.87	Facility		$0.51	$0.51	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.51 / $0.51	Professional		$0.39	$0.51	$0.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.21	Facility		$0.15	$0.15	$0.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $2,250,000.00 / $2,250,000.00	Professional		$0.39	$2,250,000.00	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.25 / $1.20	Professional		$0.24	$0.25	$1.20