Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $488.88 / $584.46	Facility		$0.65	$488.88	$584.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $52.85 / $89.28	Professional		$52.85	$52.85	$89.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $124.99 / $127.67	Facility		$89.28	$124.99	$127.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $53.53 / $76.48	Professional		$53.53	$53.53	$76.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $245.00 / $306.25	Professional		$204.00	$245.00	$306.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $124.99 / $127.67	Facility		$89.28	$124.99	$127.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $245.00 / $2,250,000.00	Professional		$76.48	$245.00	$2,250,000.00