Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $126.00	Facility		$90.00	$90.00	$126.00
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 $90.00 / $90.00 / $126.00	Facility		$90.00	$90.00	$126.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $2,250,000.00	Professional		$90.80	$90.80	$2,250,000.00