Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,364.00 / $3,364.00 / $3,364.00	Professional		$3,364.00	$3,364.00	$3,364.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.92 / $568.92 / $1,500.00	Professional		$568.92	$568.92	$1,500.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,943.00 / $2,943.00 / $2,943.00	Professional		$2,943.00	$2,943.00	$2,943.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.29 / $724.29 / $2,317.00	Professional		$724.29	$724.29	$2,317.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.92 / $724.29 / $1,931.00	Professional		$568.92	$724.29	$1,931.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,612.06 / $1,665.06 / $2,737.00	Professional		$1,612.06	$1,665.06	$2,737.00