Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $96.10	Professional		$69.12	$96.10	$96.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $134.54	Facility		$96.10	$96.10	$134.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $249.73 / $249.73	Professional		$159.46	$249.73	$249.73
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 $96.10 / $96.10 / $134.54	Facility		$96.10	$96.10	$134.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $2,400,000.00	Professional		$20.93	$20.93	$2,400,000.00