Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $976.97 / $1,589.76	Professional		$183.48	$976.97	$1,589.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.11 / $825.65 / $1,474.59	Professional		$492.11	$825.65	$1,474.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $490.05 / $975.52 / $1,977.30	Professional		$490.05	$975.52	$1,977.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.50 / $1,198.00 / $1,966.00	Professional		$757.50	$1,198.00	$1,966.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.93 / $1,117.34 / $1,928.46	Professional		$466.93	$1,117.34	$1,928.46
United Facility/Professional Professional Modifier Low / Median / High Price $860.46 / $1,480.97 / $1,900.98	Professional		$860.46	$1,480.97	$1,900.98