Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.30 / $340.30 / $340.30	Professional		$340.30	$340.30	$340.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.30 / $340.30 / $476.42	Facility		$340.30	$340.30	$476.42
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 $340.30 / $340.30 / $476.42	Facility		$340.30	$340.30	$476.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $690.63 / $2,250,000.00	Professional		$216.38	$690.63	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.86 / $381.86 / $763.71	Professional		$381.86	$381.86	$763.71