Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $57.20 / $72.80	Facility		$52.00	$57.20	$72.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $57.95 / $183.00	Professional		$57.95	$57.95	$183.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $82.50 / $3,495.87	Facility		$82.50	$82.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $82.50 / $82.50	Professional		$55.00	$82.50	$82.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $61.00 / $74.36	Facility		$52.00	$61.00	$74.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $71.06 / $2,250,000.00	Professional		$21.25	$71.06	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $35.53 / $177.66	Professional		$35.53	$35.53	$177.66