Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.77 / $881.77 / $1,112.25	Professional		$881.77	$881.77	$1,112.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.41 / $603.41 / $603.41	Professional		$603.41	$603.41	$603.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.65 / $1,178.09 / $1,466.66	Professional		$453.65	$1,178.09	$1,466.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.25 / $813.45 / $1,163.80	Professional		$701.25	$813.45	$1,163.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.02 / $808.50 / $1,201.97	Professional		$256.02	$808.50	$1,201.97
United Facility/Professional Professional Modifier Low / Median / High Price $470.10 / $496.62 / $1,088.58	Professional		$470.10	$496.62	$1,088.58