Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,715.35 / $8,317.64	Professional		$776.25	$3,715.35	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $17,378.01	Professional		$1,949.84	$3,311.31	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $17,378.01	Professional		$1,737.80	$5,370.32	$17,378.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $21,877.62	Professional		$3,162.28	$5,623.41	$21,877.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,949.84 / $9,549.93	Professional		$60.26	$1,949.84	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,466.84 / $19,054.61	Professional		$1,949.84	$4,466.84	$19,054.61