Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $453.45	Facility		$450.00	$450.00	$453.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $615.00	Professional		$50.50	$72.50	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $200.00 / $212.00	Professional		$160.00	$200.00	$212.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.38 / $307.50 / $650.00	Professional		$220.38	$307.50	$650.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $408.00 / $490.00	Professional		$360.40	$408.00	$490.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $380.00 / $480.00	Professional		$200.00	$380.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $90.00 / $123.00	Professional		$65.00	$90.00	$123.00