Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $21.41 / $31.79	Professional		$16.82	$21.41	$31.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $31.79 / $44.51	Facility		$19.51	$31.79	$44.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $28.03 / $31.06	Professional		$19.62	$28.03	$31.06
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 $98.00 / $105.00 / $109.00	Professional		$98.00	$105.00	$109.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $31.79 / $44.51	Facility		$18.80	$31.79	$44.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $105.00 / $2,400,000.00	Professional		$28.03	$105.00	$2,400,000.00