Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.30 / $6,226.02 / $7,609.48	Professional		$1,133.30	$6,226.02	$7,609.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,188.33 / $4,439.10 / $6,591.62	Professional		$3,188.33	$4,439.10	$6,591.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,972.65 / $4,544.37 / $9,131.85	Professional		$2,972.65	$4,544.37	$9,131.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,595.00 / $6,727.08 / $9,693.45	Professional		$4,595.00	$6,727.08	$9,693.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,783.24 / $6,868.50 / $10,174.00	Professional		$2,783.24	$6,868.50	$10,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,259.80 / $7,454.65 / $9,371.56	Professional		$4,259.80	$7,454.65	$9,371.56