Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $675.00 / $675.00	Professional		$415.00	$675.00	$675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $965.25 / $965.25 / $965.25	Facility		$965.25	$965.25	$965.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $445.88 / $445.88 / $636.98	Professional		$445.88	$445.88	$636.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $965.25 / $965.25 / $965.25	Facility		$965.25	$965.25	$965.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $636.98	Professional		$432.81	$432.81	$636.98
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $750.00 / $1,008.60	Professional		$500.00	$750.00	$1,008.60