Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $109.25 / $156.40	Professional		$37.70	$109.25	$156.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $156.40 / $218.96	Facility		$95.55	$156.40	$218.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $66.03 / $67.45	Professional		$46.22	$66.03	$67.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.65 / $187.65 / $3,495.87	Facility		$187.65	$187.65	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $175.14 / $247.42	Professional		$91.05	$175.14	$247.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $156.40 / $218.96	Facility		$84.00	$156.40	$218.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $66.03 / $2,400,000.00	Professional		$38.22	$66.03	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $115.00 / $291.58	Professional		$93.60	$115.00	$291.58