Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $97.91 / $97.91	Professional		$97.91	$97.91	$97.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $156.46 / $156.46	Professional		$156.46	$156.46	$156.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.40 / $175.31 / $3,495.87	Facility		$153.40	$175.31	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $120.53 / $131.47	Professional		$93.13	$120.53	$131.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $3,495.87	Facility		$93.13	$93.13	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $2,250,000.00	Professional		$93.13	$93.13	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $273.89	Professional		$136.94	$136.94	$273.89