Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.09 / $1,102.54 / $1,481.41	Professional		$203.09	$1,102.54	$1,481.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.75 / $760.25 / $1,330.86	Professional		$549.75	$760.25	$1,330.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.48 / $903.45 / $1,815.45	Professional		$547.48	$903.45	$1,815.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.25 / $1,256.84 / $1,866.00	Professional		$846.25	$1,256.84	$1,866.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.21 / $1,218.77 / $1,840.80	Professional		$458.21	$1,218.77	$1,840.80
United Facility/Professional Professional Modifier Low / Median / High Price $826.02 / $1,652.04 / $1,817.24	Professional		$826.02	$1,652.04	$1,817.24