Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $319.29 / $1,527.37	Professional		$197.44	$319.29	$1,527.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.47 / $428.40 / $923.97	Professional		$242.47	$428.40	$923.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $508.28 / $943.42 / $1,887.90	Professional		$508.28	$943.42	$1,887.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.50 / $1,136.25 / $1,844.00	Professional		$687.50	$1,136.25	$1,844.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.25 / $901.89 / $1,778.40	Professional		$343.25	$901.89	$1,778.40
United Facility/Professional Professional Modifier Low / Median / High Price $652.14 / $788.44 / $2,343.71	Professional		$652.14	$788.44	$2,343.71