Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $67.50	Professional		$67.50	$67.50	$67.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $94.50 / $96.53	Facility		$67.50	$94.50	$96.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $39.24 / $56.05	Professional		$39.24	$39.24	$56.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $172.00 / $172.00	Professional		$138.00	$172.00	$172.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $94.50 / $96.53	Facility		$67.50	$94.50	$96.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $172.00 / $2,250,000.00	Professional		$39.24	$172.00	$2,250,000.00