Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $378.80 / $1,745.10	Professional		$233.77	$378.80	$1,745.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $480.08 / $1,093.10	Professional		$307.12	$480.08	$1,093.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $620.28 / $1,080.69 / $2,158.80	Professional		$620.28	$1,080.69	$2,158.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.15 / $1,335.25 / $2,212.81	Professional		$801.15	$1,335.25	$2,212.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.34 / $1,058.94 / $2,076.00	Professional		$406.34	$1,058.94	$2,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.47 / $878.10 / $2,412.11	Professional		$754.47	$878.10	$2,412.11