Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.25 / $854.25 / $969.00	Facility		$854.25	$854.25	$969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $293.39 / $293.39	Professional		$293.39	$293.39	$293.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $293.39 / $850.86	Facility		$293.39	$293.39	$850.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $293.39 / $850.86	Facility		$293.39	$293.39	$850.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $2,400,000.00	Professional		$147.34	$147.34	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.29 / $573.29 / $573.29	Professional		$573.29	$573.29	$573.29