Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.60 / $402.60 / $402.60	Facility		$402.60	$402.60	$402.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $11.16	Professional		$11.16	$11.16	$11.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $15.62	Facility		$11.16	$11.16	$15.62
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 $11.16 / $11.16 / $15.62	Facility		$11.16	$11.16	$15.62
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