Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $102.63	Professional		$70.00	$70.00	$102.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $98.00	Facility		$70.00	$70.00	$98.00
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 $70.00 / $70.00 / $98.00	Facility		$70.00	$70.00	$98.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $2,400,000.00	Professional		$51.00	$51.00	$2,400,000.00