Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $77.00	Professional		$70.00	$70.00	$77.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $98.00	Facility		$70.00	$70.00	$98.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $196.00 / $196.00	Professional		$188.00	$196.00	$196.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $98.00	Facility		$70.00	$70.00	$98.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $2,250,000.00	Professional		$196.00	$196.00	$2,250,000.00