Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.23 / $3,966.11 / $4,789.87	Professional		$733.23	$3,966.11	$4,789.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,033.71 / $2,779.09 / $4,230.97	Professional		$2,033.71	$2,779.09	$4,230.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.10 / $2,883.03 / $5,793.45	Professional		$1,952.10	$2,883.03	$5,793.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,017.50 / $4,307.95 / $6,167.85	Professional		$3,017.50	$4,307.95	$6,167.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,759.84 / $4,402.50 / $6,434.00	Professional		$1,759.84	$4,402.50	$6,434.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,682.44 / $4,694.27 / $5,901.37	Professional		$2,682.44	$4,694.27	$5,901.37