Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $46.43 / $46.43	Professional		$46.43	$46.43	$46.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $65.00 / $66.39	Facility		$46.43	$65.00	$66.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $41.80	Professional		$29.26	$29.26	$41.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $131.00 / $131.00	Professional		$113.00	$131.00	$131.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $65.00 / $66.39	Facility		$46.43	$65.00	$66.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $131.00 / $2,250,000.00	Professional		$29.26	$131.00	$2,250,000.00