Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,542.79 / $3,851.23 / $4,784.83	Professional		$3,542.79	$3,851.23	$4,784.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,224.02 / $2,224.02 / $2,891.78	Professional		$2,224.02	$2,224.02	$2,891.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.10 / $3,906.00 / $6,004.35	Professional		$1,504.10	$3,906.00	$6,004.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.00 / $3,788.10 / $5,084.39	Professional		$2,511.00	$3,788.10	$5,084.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,331.78 / $3,363.60 / $5,061.60	Professional		$1,331.78	$3,363.60	$5,061.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,036.10 / $3,490.04 / $4,774.56	Professional		$2,036.10	$3,490.04	$4,774.56