Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $56.84 / $89.26	Professional		$24.47	$56.84	$89.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $56.84 / $89.26	Facility		$41.57	$56.84	$89.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $78.47 / $112.10	Professional		$41.08	$78.47	$112.10
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 $230.00 / $257.00 / $306.00	Professional		$230.00	$257.00	$306.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $56.84 / $117.98	Facility		$42.07	$56.84	$117.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $257.00 / $2,250,000.00	Professional		$78.47	$257.00	$2,250,000.00