Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $1,055.56 / $1,505.73	Professional		$201.28	$1,055.56	$1,505.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.63 / $740.63 / $1,097.71	Professional		$740.63	$740.63	$1,097.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $497.33 / $1,291.50 / $1,891.34	Professional		$497.33	$1,291.50	$1,891.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.05 / $1,277.54 / $2,208.41	Professional		$814.05	$1,277.54	$2,208.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.50 / $1,106.25 / $2,027.11	Professional		$419.50	$1,106.25	$2,027.11
United Facility/Professional Professional Modifier Low / Median / High Price $767.25 / $1,324.80 / $1,949.34	Professional		$767.25	$1,324.80	$1,949.34