Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.16 / $1,548.96 / $1,796.00	Professional		$644.16	$1,548.96	$1,796.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.50 / $1,011.89 / $1,056.67	Professional		$921.50	$1,011.89	$1,056.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.13 / $931.76 / $1,739.50	Professional		$684.13	$931.76	$1,739.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.50 / $1,350.00 / $1,900.77	Professional		$1,057.50	$1,350.00	$1,900.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $530.20 / $1,408.75 / $2,106.00	Professional		$530.20	$1,408.75	$2,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.62 / $888.76 / $2,559.82	Professional		$841.62	$888.76	$2,559.82