Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,538.85 / $10,538.85 / $10,538.85	Facility		$10,538.85	$10,538.85	$10,538.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $62.99 / $62.99	Professional		$62.99	$62.99	$62.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $44.54 / $90.08	Facility		$44.54	$44.54	$90.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $48.88 / $69.83	Professional		$48.88	$48.88	$69.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $192.00 / $192.00	Professional		$180.00	$192.00	$192.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $86.30 / $90.08	Facility		$62.99	$86.30	$90.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $192.00 / $2,400,000.00	Professional		$69.83	$192.00	$2,400,000.00