Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $618.85 / $1,108.47	Professional		$127.00	$618.85	$1,108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.23 / $421.23 / $735.94	Professional		$421.23	$421.23	$735.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $850.50 / $1,569.65	Professional		$327.50	$850.50	$1,569.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.04 / $822.87 / $1,316.00	Professional		$544.04	$822.87	$1,316.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $711.88 / $1,316.00	Professional		$279.83	$711.88	$1,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.90 / $588.76 / $1,280.86	Professional		$556.90	$588.76	$1,280.86