Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.69 / $515.69 / $1,062.78	Professional		$515.69	$515.69	$1,062.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $150.88 / $150.88	Professional		$150.88	$150.88	$150.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $492.00 / $887.25	Professional		$265.52	$492.00	$887.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.75 / $706.05 / $1,704.95	Professional		$633.75	$706.05	$1,704.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.48 / $823.50 / $1,704.95	Professional		$397.48	$823.50	$1,704.95
United Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $664.05 / $2,533.21	Professional		$199.51	$664.05	$2,533.21