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 $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
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 $18.70 / $18.70 / $2,400,000.00	Professional		$18.70	$18.70	$2,400,000.00