Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $281.52 / $281.52	Professional		$281.52	$281.52	$281.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.52 / $281.52 / $394.14	Facility		$281.52	$281.52	$394.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.22 / $814.22 / $3,495.87	Facility		$814.22	$814.22	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.52 / $281.52 / $402.59	Facility		$281.52	$281.52	$402.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $2,400,000.00	Professional		$177.26	$177.26	$2,400,000.00