Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $100.49 / $100.49	Professional		$100.49	$100.49	$100.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $140.69 / $143.69	Facility		$100.49	$140.69	$143.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $58.85 / $84.08	Professional		$58.85	$58.85	$84.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $161.00 / $161.00	Professional		$159.00	$161.00	$161.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $140.69 / $143.69	Facility		$100.49	$140.69	$143.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $161.00 / $2,250,000.00	Professional		$58.85	$161.00	$2,250,000.00