Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.88 / $1,239.41 / $8,918.91	Facility		$578.88	$1,239.41	$8,918.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $195.75 / $195.75	Professional		$195.75	$195.75	$195.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.75 / $195.75 / $274.05	Facility		$195.75	$195.75	$274.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.78 / $199.78 / $3,495.87	Facility		$199.78	$199.78	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.75 / $195.75 / $274.05	Facility		$195.75	$195.75	$274.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00