Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.76 / $851.55 / $1,282.08	Professional		$160.76	$851.55	$1,282.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.14 / $655.43 / $1,190.29	Professional		$427.14	$655.43	$1,190.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.83 / $795.72 / $1,599.00	Professional		$431.83	$795.72	$1,599.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.50 / $1,025.00 / $1,536.00	Professional		$667.50	$1,025.00	$1,536.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.50 / $988.75 / $1,536.00	Professional		$385.50	$988.75	$1,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $1,209.25 / $1,520.20	Professional		$691.00	$1,209.25	$1,520.20