Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $36.01 / $36.01	Professional		$36.01	$36.01	$36.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $36.01 / $43.21	Facility		$33.57	$36.01	$43.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $36.01 / $43.21	Facility		$33.57	$36.01	$43.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00