Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,947.44 / $3,947.44 / $3,947.44	Facility		$3,947.44	$3,947.44	$3,947.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $199.59 / $199.59	Professional		$199.59	$199.59	$199.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.59 / $279.43 / $285.41	Facility		$199.59	$279.43	$285.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $86.12 / $123.03	Professional		$86.12	$86.12	$123.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $344.00 / $344.00	Professional		$340.00	$344.00	$344.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.59 / $279.43 / $285.41	Facility		$199.59	$279.43	$285.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $344.00 / $2,250,000.00	Professional		$86.12	$344.00	$2,250,000.00