Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $990.00 / $997.59	Facility		$990.00	$990.00	$997.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $1,353.00	Professional		$50.50	$72.50	$1,353.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $500.00 / $530.00	Professional		$400.00	$500.00	$530.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $676.50 / $1,430.00	Professional		$510.00	$676.50	$1,430.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $1,020.00 / $1,225.00	Professional		$901.00	$1,020.00	$1,225.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $901.00 / $1,200.00	Professional		$500.00	$901.00	$1,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $73.34 / $120.00	Professional		$70.00	$73.34	$120.00