Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $14.31 / $18.80	Professional		$8.10	$14.31	$18.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $18.80 / $26.33	Facility		$15.10	$18.80	$26.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.44 / $20.49	Professional		$12.29	$18.44	$20.49
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
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $26.00 / $26.00	Professional		$22.00	$26.00	$26.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $18.80 / $26.33	Facility		$11.28	$18.80	$26.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $26.00 / $2,400,000.00	Professional		$20.22	$26.00	$2,400,000.00