Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $973.24 / $1,514.32	Professional		$276.33	$973.24	$1,514.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.37 / $720.55 / $1,162.35	Professional		$449.37	$720.55	$1,162.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $621.05 / $971.37	Professional		$517.54	$621.05	$971.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.79 / $958.10 / $1,475.00	Professional		$588.79	$958.10	$1,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $958.10 / $1,754.06	Professional		$399.36	$958.10	$1,754.06
United Facility/Professional Professional Modifier Low / Median / High Price $520.51 / $929.90 / $1,046.64	Professional		$520.51	$929.90	$1,046.64