Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $148.50 / $1,064.93	Facility		$57.60	$148.50	$1,064.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $87.35 / $106.08	Professional		$74.02	$87.35	$106.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $87.35 / $122.29	Facility		$87.35	$87.35	$122.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.60 / $342.60 / $342.60	Professional		$342.60	$342.60	$342.60
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 $87.35 / $87.35 / $122.29	Facility		$87.35	$87.35	$122.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $2,400,000.00	Professional		$87.12	$87.12	$2,400,000.00