Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $540.00 / $544.14	Facility		$540.00	$540.00	$544.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $72.50 / $544.14	Professional		$38.00	$72.50	$544.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $220.29 / $220.29 / $220.29	Professional	AA	$220.29	$220.29	$220.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $250.00 / $265.00	Professional		$200.00	$250.00	$265.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $369.00 / $780.00	Professional		$264.45	$369.00	$780.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $510.00 / $612.50	Professional		$450.50	$510.00	$612.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $600.00	Professional		$250.00	$475.00	$600.00
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $174.00 / $216.00 / $247.56	Professional	QX	$174.00	$216.00	$247.56
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $174.00 / $216.00 / $247.56	Professional	QY	$174.00	$216.00	$247.56
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $73.34 / $120.00	Professional		$70.00	$73.34	$120.00