Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.33 / $5,691.42 / $7,014.61	Professional		$1,031.33	$5,691.42	$7,014.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,900.59 / $4,078.50 / $6,087.43	Professional		$2,900.59	$4,078.50	$6,087.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,755.93 / $4,277.49 / $8,595.60	Professional		$2,755.93	$4,277.49	$8,595.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,260.00 / $6,201.93 / $9,129.90	Professional		$4,260.00	$6,201.93	$9,129.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,582.30 / $6,339.45 / $9,642.00	Professional		$2,582.30	$6,339.45	$9,642.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,938.22 / $5,941.22 / $8,664.08	Professional		$3,938.22	$5,941.22	$8,664.08