Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $17.76 / $18.39	Professional		$12.68	$17.76	$18.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $17.76 / $27.17	Facility		$17.76	$17.76	$27.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $18.93 / $25.63	Professional		$12.62	$18.93	$25.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $109.00 / $121.00	Professional		$81.00	$109.00	$121.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $17.76 / $29.22	Facility		$14.21	$17.76	$29.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $115.00 / $2,400,000.00	Professional		$81.00	$115.00	$2,400,000.00