Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.71 / $1,010.37 / $1,762.75	Professional		$255.71	$1,010.37	$1,762.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.08 / $721.60 / $1,297.57	Professional		$430.08	$721.60	$1,297.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $532.90 / $639.48 / $1,123.71	Professional		$532.90	$639.48	$1,123.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $955.55 / $1,679.10	Professional		$562.40	$955.55	$1,679.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.52 / $982.50 / $1,839.00	Professional		$411.52	$982.50	$1,839.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.88 / $1,038.06 / $1,566.02	Professional		$465.88	$1,038.06	$1,566.02