Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $142.69 / $142.69	Professional		$142.69	$142.69	$142.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $142.69 / $199.77	Facility		$142.69	$142.69	$199.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.33 / $1,798.33 / $1,798.33	Professional		$1,798.33	$1,798.33	$1,798.33
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 $142.69 / $142.69 / $199.77	Facility		$142.69	$142.69	$199.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $2,250,000.00	Professional		$785.24	$785.24	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,157.98 / $2,157.98 / $4,315.97	Professional		$2,157.98	$2,157.98	$4,315.97