Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.81 / $218.81 / $218.81	Professional		$218.81	$218.81	$218.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $229.36	Professional		$162.08	$162.08	$229.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $218.81 / $306.33	Facility		$162.08	$218.81	$306.33
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
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $218.81 / $306.33	Facility		$162.08	$218.81	$306.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $2,250,000.00	Professional		$162.08	$162.08	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.12 / $243.12 / $486.24	Professional		$243.12	$243.12	$486.24