Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $239.27 / $1,180.25	Professional		$112.30	$239.27	$1,180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $273.68 / $666.01	Professional		$149.09	$273.68	$666.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.20 / $661.80 / $1,420.10	Professional		$302.20	$661.80	$1,420.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.50 / $768.00 / $1,318.00	Professional		$442.50	$768.00	$1,318.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.26 / $595.73 / $1,268.00	Professional		$222.26	$595.73	$1,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.13 / $621.19 / $1,469.64	Professional		$486.13	$621.19	$1,469.64