Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.04 / $263.04 / $263.04	Professional		$263.04	$263.04	$263.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $186.54 / $376.15	Facility		$186.54	$186.54	$376.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.04 / $360.36 / $376.15	Facility		$263.04	$360.36	$376.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $2,400,000.00	Professional		$600.00	$600.00	$2,400,000.00