Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $105.00	Facility		$75.00	$75.00	$105.00
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 $75.00 / $75.00 / $105.00	Facility		$75.00	$75.00	$105.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $2,400,000.00	Professional		$98.27	$98.27	$2,400,000.00