Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $810.00 / $816.21	Facility		$810.00	$810.00	$816.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $1,107.00	Professional		$50.50	$72.50	$1,107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $400.00 / $424.00	Professional		$320.00	$400.00	$424.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $553.50 / $1,170.00	Professional		$408.00	$553.50	$1,170.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.80 / $816.00 / $980.00	Professional		$720.80	$816.00	$980.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $720.80 / $960.00	Professional		$400.00	$720.80	$960.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $90.00 / $120.00	Professional		$70.00	$90.00	$120.00