Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.65 / $219.65 / $219.65	Professional		$219.65	$219.65	$219.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.65 / $307.51 / $314.10	Facility		$219.65	$307.51	$314.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $196.51 / $280.73	Professional		$196.51	$196.51	$280.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,015.00 / $1,155.00	Professional		$1,015.00	$1,015.00	$1,155.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.65 / $307.51 / $314.10	Facility		$219.65	$307.51	$314.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $1,015.00 / $2,250,000.00	Professional		$196.51	$1,015.00	$2,250,000.00