Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.17 / $913.09 / $1,725.72	Professional		$711.17	$913.09	$1,725.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.41 / $1,091.40 / $4,113.74	Professional		$627.41	$1,091.40	$4,113.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $947.63 / $1,861.55 / $2,420.02	Professional		$947.63	$1,861.55	$2,420.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.65 / $2,466.00 / $3,952.50	Professional		$1,090.65	$2,466.00	$3,952.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $947.63 / $1,858.50 / $3,952.50	Professional		$947.63	$1,858.50	$3,952.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,597.56 / $1,624.73 / $2,396.34	Professional		$1,597.56	$1,624.73	$2,396.34