Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Professional		$85.58	$85.58	$85.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $80.87 / $100.71	Professional		$44.45	$80.87	$100.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $122.38	Facility		$13.18	$13.18	$122.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $28.60 / $40.85	Professional		$28.60	$28.60	$40.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $124.70 / $192.21	Professional		$107.50	$124.70	$192.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.82 / $122.38	Facility		$13.18	$15.82	$122.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $154.16 / $2,475,000.00	Professional		$84.71	$154.16	$2,475,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $114.11 / $311.80	Professional		$54.84	$114.11	$311.80