Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.86 / $494.86 / $1,034.58	Professional		$494.86	$494.86	$1,034.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $537.86	Professional		$501.19	$501.19	$537.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.35 / $468.69 / $845.25	Professional		$240.35	$468.69	$845.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.75 / $669.60 / $883.89	Professional		$603.75	$669.60	$883.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.35 / $632.50 / $1,169.92	Professional		$240.35	$632.50	$1,169.92
United Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $430.28 / $645.41	Professional		$344.90	$430.28	$645.41