Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $101.83 / $262.14	Professional		$83.34	$101.83	$262.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $254.94 / $282.24	Professional		$254.94	$254.94	$282.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $262.14 / $374.87	Facility		$41.79	$262.14	$374.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $91.44 / $130.63	Professional		$91.44	$91.44	$130.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $378.45 / $583.34	Professional		$326.25	$378.45	$583.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $262.14 / $374.87	Facility		$41.79	$262.14	$374.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $391.50 / $2,250,000.00	Professional		$55.72	$391.50	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $101.60 / $227.78	Professional		$100.26	$101.60	$227.78