Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $57.45 / $68.54	Professional		$57.45	$57.45	$68.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $5,100.00	Professional		$14.25	$14.25	$5,100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $57.45 / $68.94	Facility		$46.82	$57.45	$68.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $57.45 / $68.94	Facility		$46.82	$57.45	$68.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $5,100.00 / $10,000.00	Professional		$14.25	$5,100.00	$10,000.00