Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $240.26 / $240.26	Professional		$240.26	$240.26	$240.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $240.26 / $336.36	Facility		$177.97	$240.26	$336.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.16 / $284.75 / $3,495.87	Facility		$249.16	$284.75	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $195.77 / $213.56	Professional		$151.27	$195.77	$213.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $240.26 / $355.94	Facility		$177.97	$240.26	$355.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $202.24 / $2,250,000.00	Professional		$151.27	$202.24	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $242.69 / $485.37	Professional		$242.69	$242.69	$485.37