Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.67 / $2,945.03 / $6,179.33	Professional		$673.67	$2,945.03	$6,179.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.03 / $1,180.03 / $4,633.83	Professional		$1,180.03	$1,180.03	$4,633.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.01 / $2,881.13 / $8,562.51	Professional		$1,049.01	$2,881.13	$8,562.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.20 / $3,869.80 / $10,126.43	Professional		$1,447.20	$3,869.80	$10,126.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.28 / $3,137.40 / $11,397.75	Professional		$793.28	$3,137.40	$11,397.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,707.06 / $5,560.59 / $11,614.45	Professional		$3,707.06	$5,560.59	$11,614.45