Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $442.47 / $1,018.21	Professional		$442.47	$442.47	$1,018.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $135.10 / $135.10	Professional		$135.10	$135.10	$135.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $440.55 / $794.50	Professional		$262.68	$440.55	$794.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.50 / $658.30 / $1,686.65	Professional		$567.50	$658.30	$1,686.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.53 / $789.00 / $1,686.65	Professional		$380.53	$789.00	$1,686.65
United Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $636.21 / $2,427.01	Professional		$168.21	$636.21	$2,427.01