Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $766.47 / $1,192.70	Professional		$146.54	$766.47	$1,192.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.89 / $612.96 / $1,113.13	Professional		$386.89	$612.96	$1,113.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.35 / $741.39 / $1,489.80	Professional		$387.35	$741.39	$1,489.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.75 / $943.80 / $1,448.00	Professional		$598.75	$943.80	$1,448.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.25 / $910.65 / $1,448.00	Professional		$350.25	$910.65	$1,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.08 / $1,284.16 / $1,412.58	Professional		$642.08	$1,284.16	$1,412.58