Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,322.60 / $8,322.60 / $8,322.60	Facility		$8,322.60	$8,322.60	$8,322.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $59.35 / $81.42	Professional		$45.28	$59.35	$81.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $81.42 / $113.99	Facility		$54.75	$81.42	$113.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $91.20 / $91.20	Professional		$63.84	$91.20	$91.20
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
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $255.00 / $261.00	Professional		$250.00	$255.00	$261.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.30 / $81.42 / $116.38	Facility		$52.30	$81.42	$116.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $255.00 / $2,250,000.00	Professional		$91.20	$255.00	$2,250,000.00