Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.81 / $222.81 / $222.81	Professional		$222.81	$222.81	$222.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.81 / $311.93 / $318.62	Facility		$222.81	$311.93	$318.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $175.75	Professional		$123.03	$123.03	$175.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $473.00 / $546.00	Professional		$458.00	$473.00	$546.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.81 / $311.93 / $318.62	Facility		$222.81	$311.93	$318.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $473.00 / $2,250,000.00	Professional		$123.03	$473.00	$2,250,000.00