Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Professional		$104.69	$104.69	$104.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $146.57	Facility		$104.69	$104.69	$146.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $3,495.87	Facility		$206.70	$206.70	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $149.71	Facility		$104.69	$104.69	$149.71
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