Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $18.07 / $25.40	Professional		$12.94	$18.07	$25.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $25.40 / $35.56	Facility		$15.10	$25.40	$35.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $23.75 / $24.75	Professional		$16.63	$23.75	$24.75
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
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $76.00 / $77.00	Professional		$64.00	$76.00	$77.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $25.40 / $35.56	Facility		$15.27	$25.40	$35.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $77.00 / $2,400,000.00	Professional		$23.75	$77.00	$2,400,000.00