Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Professional		$138.91	$138.91	$138.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $194.49	Facility		$138.91	$138.91	$194.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.85 / $539.46 / $3,495.87	Facility		$347.85	$539.46	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $347.85	Facility		$138.91	$138.91	$347.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00