Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $56.00	Facility		$40.00	$40.00	$56.00
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 $40.00 / $40.00 / $56.00	Facility		$40.00	$40.00	$56.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $2,250,000.00	Professional		$139.72	$139.72	$2,250,000.00