Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,189.43 / $3,189.43 / $6,270.76	Professional		$3,189.43	$3,189.43	$6,270.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,609.63 / $2,609.63 / $3,099.85	Professional		$2,609.63	$2,609.63	$3,099.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.28 / $3,094.59 / $5,580.75	Professional		$1,429.28	$3,094.59	$5,580.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,761.25 / $4,352.39 / $9,177.45	Professional		$3,761.25	$4,352.39	$9,177.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,050.92 / $4,030.00 / $8,274.75	Professional		$2,050.92	$4,030.00	$8,274.75
United Facility/Professional Professional Modifier Low / Median / High Price $928.02 / $3,719.82 / $14,190.37	Professional		$928.02	$3,719.82	$14,190.37