Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.52 / $3,071.52 / $10,028.84	Professional		$2,123.52	$3,071.52	$10,028.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.45 / $1,419.59 / $7,315.52	Professional		$683.45	$1,419.59	$7,315.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.32 / $3,323.26 / $11,769.23	Professional		$1,059.32	$3,323.26	$11,769.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,527.50 / $3,067.50 / $11,463.18	Professional		$1,527.50	$3,067.50	$11,463.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,018.40 / $2,610.42 / $9,830.70	Professional		$1,018.40	$2,610.42	$9,830.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,648.40 / $5,139.02 / $11,305.84	Professional		$3,648.40	$5,139.02	$11,305.84