Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $906.90	Facility		$900.00	$900.00	$906.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $1,230.00	Professional		$50.50	$72.50	$1,230.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $450.00 / $477.00	Professional		$360.00	$450.00	$477.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $615.00 / $1,300.00	Professional		$459.00	$615.00	$1,300.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.90 / $918.00 / $1,102.50	Professional		$810.90	$918.00	$1,102.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $825.20 / $1,080.00	Professional		$450.00	$825.20	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $90.00 / $123.00	Professional		$70.00	$90.00	$123.00