Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $634.83	Facility		$630.00	$630.00	$634.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $72.50 / $861.00	Professional		$50.50	$72.50	$861.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $300.00 / $318.00	Professional		$240.00	$300.00	$318.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.52 / $430.50 / $910.00	Professional		$308.52	$430.50	$910.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.60 / $612.00 / $735.00	Professional		$540.60	$612.00	$735.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $570.00 / $720.00	Professional		$300.00	$570.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $90.00 / $120.00	Professional		$70.00	$90.00	$120.00