Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.73 / $2,067.80 / $3,222.24	Facility		$530.73	$2,067.80	$3,222.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.60 / $317.60 / $317.60	Professional		$317.60	$317.60	$317.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.60 / $444.64 / $2,178.14	Facility		$317.60	$444.64	$2,178.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.60 / $317.60 / $921.04	Facility		$317.60	$317.60	$921.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $2,400,000.00	Professional		$116.76	$116.76	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $668.70 / $668.70	Professional		$668.70	$668.70	$668.70