Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $87.54 / $269.23	Professional		$73.12	$87.54	$269.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.23 / $376.92 / $385.00	Facility		$269.23	$376.92	$385.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $104.98	Professional		$73.48	$73.48	$104.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $208.00	Professional		$207.00	$207.00	$208.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.23 / $376.92 / $385.00	Facility		$269.23	$376.92	$385.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $207.00 / $2,250,000.00	Professional		$73.48	$207.00	$2,250,000.00