Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $2,615.00	Professional		$1,050.00	$1,050.00	$2,615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $237.28 / $1,304.43	Professional		$237.28	$237.28	$1,304.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.00 / $1,904.00 / $1,904.00	Professional		$1,904.00	$1,904.00	$1,904.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,943.00	Professional		$1,200.00	$1,200.00	$1,943.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $1,200.00 / $1,619.59	Professional		$237.28	$1,200.00	$1,619.59
United Facility/Professional Professional Modifier Low / Median / High Price $942.44 / $973.42 / $1,771.00	Professional		$942.44	$973.42	$1,771.00