Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.46 / $584.46 / $584.46	Facility		$584.46	$584.46	$584.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $111.55 / $161.44	Professional		$93.21	$111.55	$161.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $226.02 / $230.86	Facility		$161.44	$226.02	$230.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $95.10 / $135.85	Professional		$95.10	$95.10	$135.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $360.00 / $380.00	Professional		$328.00	$360.00	$380.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $226.02 / $230.86	Facility		$161.44	$226.02	$230.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $360.00 / $2,250,000.00	Professional		$95.10	$360.00	$2,250,000.00