Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $985.09 / $1,326.31	Professional		$215.06	$985.09	$1,326.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.62 / $481.49 / $894.38	Professional		$360.62	$481.49	$894.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.20 / $582.24 / $807.36	Professional		$485.20	$582.24	$807.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $870.00 / $1,195.50	Professional		$484.00	$870.00	$1,195.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.62 / $746.25 / $1,437.52	Professional		$360.62	$746.25	$1,437.52
United Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $715.50 / $1,079.41	Professional		$300.20	$715.50	$1,079.41