Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.49 / $2,707.26 / $4,055.81	Professional		$389.49	$2,707.26	$4,055.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $289.77 / $2,176.05	Professional		$289.77	$289.77	$2,176.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $682.24 / $3,906.00	Professional		$235.80	$682.24	$3,906.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $532.97 / $4,370.00	Professional		$326.70	$532.97	$4,370.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.08 / $634.16 / $4,490.00	Professional		$179.08	$634.16	$4,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,694.34 / $2,611.26 / $4,244.47	Professional		$1,694.34	$2,611.26	$4,244.47