Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $504.24 / $2,195.55	Professional		$317.11	$504.24	$2,195.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $857.48 / $1,487.62	Professional		$637.54	$857.48	$1,487.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $881.45 / $1,057.74 / $1,391.55	Professional		$881.45	$1,057.74	$1,391.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.99 / $1,555.50 / $2,079.30	Professional		$866.99	$1,555.50	$2,079.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.55 / $1,330.95 / $2,510.90	Professional		$643.55	$1,330.95	$2,510.90
United Facility/Professional Professional Modifier Low / Median / High Price $518.32 / $1,190.09 / $1,795.39	Professional		$518.32	$1,190.09	$1,795.39