Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $60.26	Professional		$2.00	$2.00	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $39.81	Facility		$2.24	$2.24	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $60.26	Professional		$2.00	$2.00	$60.26
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 $2.24 / $2.69 / $72.44	Facility		$2.24	$2.69	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26