Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.78 / $3,018.93 / $3,884.31	Professional		$572.78	$3,018.93	$3,884.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.69 / $1,996.95 / $3,560.57	Professional		$1,489.69	$1,996.95	$3,560.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.00 / $2,296.92 / $4,615.64	Professional		$1,475.00	$2,296.92	$4,615.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $3,354.28 / $4,774.00	Professional		$2,280.00	$3,354.28	$4,774.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,307.64 / $3,391.50 / $4,949.10	Professional		$1,307.64	$3,391.50	$4,949.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,043.82 / $3,576.69 / $4,496.39	Professional		$2,043.82	$3,576.69	$4,496.39