Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.44 / $3,027.06 / $3,677.17	Professional		$605.44	$3,027.06	$3,677.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.25 / $2,000.63 / $3,424.81	Professional		$1,547.25	$2,000.63	$3,424.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.68 / $2,242.59 / $4,506.45	Professional		$1,518.68	$2,242.59	$4,506.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,347.50 / $3,403.75 / $4,442.00	Professional		$2,347.50	$3,403.75	$4,442.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,313.81 / $3,330.00 / $4,572.28	Professional		$1,313.81	$3,330.00	$4,572.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,927.60 / $2,933.15 / $4,277.42	Professional		$1,927.60	$2,933.15	$4,277.42