Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $122.42	Professional		$99.11	$122.42	$122.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $171.39	Facility		$122.42	$122.42	$171.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $324.45 / $324.45	Professional		$324.45	$324.45	$324.45
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 $122.42 / $122.42 / $171.39	Facility		$122.42	$122.42	$171.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $2,400,000.00	Professional		$9.85	$9.85	$2,400,000.00