Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.41 / $442.41 / $442.41	Facility		$442.41	$442.41	$442.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Professional		$18.79	$18.79	$18.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $13.30 / $26.87	Facility		$13.30	$13.30	$26.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $21.85	Professional		$15.30	$15.30	$21.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $46.00 / $52.00	Professional		$45.00	$46.00	$52.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $25.74 / $26.87	Facility		$18.79	$25.74	$26.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $46.00 / $2,400,000.00	Professional		$21.85	$46.00	$2,400,000.00