Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $140.00	Facility		$100.00	$100.00	$140.00
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 $100.00 / $100.00 / $140.00	Facility		$100.00	$100.00	$140.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $2,250,000.00	Professional		$111.37	$111.37	$2,250,000.00