Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.00 / $1,720.00 / $3,465.00	Professional		$1,720.00	$1,720.00	$3,465.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.66 / $413.66 / $1,400.00	Professional		$413.66	$413.66	$1,400.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,490.00 / $2,490.00 / $2,490.00	Professional		$2,490.00	$2,490.00	$2,490.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,800.00	Professional		$900.00	$900.00	$1,800.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.66 / $900.00 / $1,800.00	Professional		$413.66	$900.00	$1,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.06 / $1,408.90 / $2,316.00	Professional		$1,364.06	$1,408.90	$2,316.00