Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.62 / $588.62 / $588.62	Professional		$588.62	$588.62	$588.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $781.33	Professional		$781.33	$781.33	$781.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $588.62 / $824.07	Facility		$588.62	$588.62	$824.07
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 $588.62 / $588.62 / $824.07	Facility		$588.62	$588.62	$824.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $2,250,000.00	Professional		$781.33	$781.33	$2,250,000.00