Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.98 / $14,552.94 / $21,564.40	Professional		$1,023.98	$14,552.94	$21,564.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.79 / $706.79 / $11,612.90	Professional		$706.79	$706.79	$11,612.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $613.29 / $1,674.92 / $21,728.70	Professional		$613.29	$1,674.92	$21,728.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.80 / $1,358.07 / $22,188.00	Professional		$847.80	$1,358.07	$22,188.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.72 / $3,539.57 / $22,188.00	Professional		$464.72	$3,539.57	$22,188.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,799.99 / $14,015.42 / $21,105.58	Professional		$5,799.99	$14,015.42	$21,105.58