Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.11 / $1,331.47 / $1,646.58	Professional		$1,063.11	$1,331.47	$1,646.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.02 / $240.02 / $937.32	Professional		$240.02	$240.02	$937.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $480.35 / $744.59 / $1,337.91	Professional		$480.35	$744.59	$1,337.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.50 / $1,065.00 / $1,548.45	Professional		$702.50	$1,065.00	$1,548.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $973.00 / $1,562.55	Professional		$266.95	$973.00	$1,562.55
United Facility/Professional Professional Modifier Low / Median / High Price $431.91 / $749.86 / $2,270.69	Professional		$431.91	$749.86	$2,270.69