Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,000.00	Professional		$309.03	$309.03	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $831.76	Professional		$223.87	$223.87	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,290.87	Professional		$1,000.00	$1,621.81	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $776.25 / $1,548.82	Professional		$371.54	$776.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $831.76	Professional		$234.42	$234.42	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $1,513.56	Professional		$588.84	$616.60	$1,513.56