Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $845.00 / $2,014.00	Professional		$845.00	$845.00	$2,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $198.51 / $686.54	Professional		$198.51	$198.51	$686.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.00 / $1,437.00 / $1,465.76	Professional		$1,437.00	$1,437.00	$1,465.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $650.00 / $1,369.00	Professional		$308.58	$650.00	$1,369.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $650.00 / $1,140.97	Professional		$198.51	$650.00	$1,140.97
United Facility/Professional Professional Modifier Low / Median / High Price $496.02 / $512.32 / $1,336.00	Professional		$496.02	$512.32	$1,336.00