Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $789.17 / $1,208.23	Professional		$151.55	$789.17	$1,208.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $619.83 / $1,124.48	Professional		$398.95	$619.83	$1,124.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $399.48 / $752.07 / $1,511.25	Professional		$399.48	$752.07	$1,511.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $968.75 / $1,456.00	Professional		$617.50	$968.75	$1,456.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.75 / $925.00 / $1,456.00	Professional		$360.75	$925.00	$1,456.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.41 / $976.76 / $1,424.41	Professional		$640.41	$976.76	$1,424.41