Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.99 / $293.99 / $293.99	Professional		$293.99	$293.99	$293.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.99 / $411.59 / $420.41	Facility		$293.99	$411.59	$420.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $134.66 / $192.38	Professional		$134.66	$134.66	$192.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $540.00 / $540.00	Professional		$534.00	$540.00	$540.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.99 / $411.59 / $420.41	Facility		$293.99	$411.59	$420.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $540.00 / $2,250,000.00	Professional		$134.66	$540.00	$2,250,000.00