Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $3,235.94 / $6,918.31	Professional		$190.55	$3,235.94	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $11,481.54	Professional		$707.95	$707.95	$11,481.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,659.59 / $21,379.62	Professional		$489.78	$1,659.59	$21,379.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $21,877.62	Professional		$851.14	$1,348.96	$21,877.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $288.40 / $11,481.54	Professional		$60.26	$288.40	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $3,467.37 / $15,488.17	Professional		$537.03	$3,467.37	$15,488.17