Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $36.10 / $51.68	Professional		$18.71	$36.10	$51.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $51.68 / $72.34	Facility		$31.85	$51.68	$72.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $32.78 / $33.49	Professional		$22.94	$32.78	$33.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $93.15 / $3,495.87	Facility		$93.15	$93.15	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $86.94 / $122.82	Professional		$45.20	$86.94	$122.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $51.68 / $72.34	Facility		$28.00	$51.68	$72.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $32.78 / $2,400,000.00	Professional		$18.97	$32.78	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $52.00 / $110.50	Professional		$46.80	$52.00	$110.50