Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $725.52	Facility		$720.00	$720.00	$725.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $984.00	Professional		$50.50	$72.50	$984.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $350.00 / $371.00	Professional		$280.00	$350.00	$371.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $492.00 / $1,040.00	Professional		$357.00	$492.00	$1,040.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.70 / $714.00 / $857.50	Professional		$630.70	$714.00	$857.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $660.16 / $840.00	Professional		$350.00	$660.16	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $73.34 / $120.00	Professional		$72.00	$73.34	$120.00