Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.47 / $4,870.49 / $4,870.49	Professional		$902.47	$4,870.49	$4,870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,516.94 / $3,799.01 / $4,173.09	Professional		$2,516.94	$3,799.01	$4,173.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,383.13 / $2,859.75 / $5,805.59	Professional		$2,383.13	$2,859.75	$5,805.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,683.75 / $5,006.75 / $7,146.00	Professional		$3,683.75	$5,006.75	$7,146.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.65 / $4,938.00 / $7,594.40	Professional		$1,621.65	$4,938.00	$7,594.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,039.20 / $5,318.60 / $6,686.24	Professional		$3,039.20	$5,318.60	$6,686.24