Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $28.00	Facility		$20.00	$20.00	$28.00
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
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $28.00	Facility		$20.00	$20.00	$28.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $2,250,000.00	Professional		$3.60	$3.60	$2,250,000.00