Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $362.76	Facility		$360.00	$360.00	$362.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $72.50 / $387.00	Professional		$38.00	$72.50	$387.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $150.00 / $159.00	Professional		$120.00	$150.00	$159.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.30 / $246.00 / $520.00	Professional		$176.30	$246.00	$520.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $306.00 / $367.50	Professional		$270.30	$306.00	$367.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $288.00 / $360.00	Professional		$150.00	$288.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $73.34 / $120.00	Professional		$72.00	$73.34	$120.00