Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $289.44	Professional		$289.44	$289.44	$289.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.44 / $289.44 / $405.22	Facility		$289.44	$289.44	$405.22
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 $289.44 / $289.44 / $405.22	Facility		$289.44	$289.44	$405.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $2,400,000.00	Professional		$182.24	$182.24	$2,400,000.00