Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.61 / $689.61 / $1,446.39	Professional		$689.61	$689.61	$1,446.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $194.32 / $194.32	Professional		$194.32	$194.32	$194.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.85 / $633.66 / $1,142.75	Professional		$363.85	$633.66	$1,142.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.25 / $946.85 / $2,336.30	Professional		$816.25	$946.85	$2,336.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.76 / $1,120.50 / $2,336.30	Professional		$568.76	$1,120.50	$2,336.30
United Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $903.72 / $3,447.51	Professional		$215.42	$903.72	$3,447.51