Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $58.46	Professional		$58.46	$58.46	$58.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $81.84 / $83.60	Facility		$58.46	$81.84	$83.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $41.56 / $59.38	Professional		$41.56	$41.56	$59.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $256.00 / $260.00	Professional		$240.00	$256.00	$260.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $81.84 / $83.60	Facility		$58.46	$81.84	$83.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $256.00 / $2,250,000.00	Professional		$41.56	$256.00	$2,250,000.00