Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.63 / $1,153.25 / $4,936.88	Professional		$938.63	$1,153.25	$4,936.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,563.69 / $3,527.05 / $4,285.35	Professional		$2,563.69	$3,527.05	$4,285.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,439.73 / $2,927.67 / $5,943.49	Professional		$2,439.73	$2,927.67	$5,943.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,771.25 / $5,223.75 / $6,662.00	Professional		$3,771.25	$5,223.75	$6,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,523.33 / $4,903.80 / $7,191.80	Professional		$1,523.33	$4,903.80	$7,191.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,821.64 / $4,937.87 / $6,207.61	Professional		$2,821.64	$4,937.87	$6,207.61