Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.10 / $587.91 / $2,521.05	Professional		$374.10	$587.91	$2,521.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.76 / $960.84 / $1,721.08	Professional		$747.76	$960.84	$1,721.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.80 / $1,233.35 / $1,532.25	Professional		$1,027.80	$1,233.35	$1,532.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.43 / $1,780.90 / $2,289.55	Professional		$1,034.43	$1,780.90	$2,289.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $747.76 / $1,541.25 / $2,932.25	Professional		$747.76	$1,541.25	$2,932.25
United Facility/Professional Professional Modifier Low / Median / High Price $595.45 / $1,376.86 / $2,077.14	Professional		$595.45	$1,376.86	$2,077.14