Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.76 / $513.76 / $1,055.01	Professional		$513.76	$513.76	$1,055.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $495.87 / $894.25	Professional		$264.10	$495.87	$894.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.75 / $704.70 / $1,695.80	Professional		$638.75	$704.70	$1,695.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.07 / $817.50 / $1,695.80	Professional		$396.07	$817.50	$1,695.80
United Facility/Professional Professional Modifier Low / Median / High Price $214.89 / $659.19 / $2,514.67	Professional		$214.89	$659.19	$2,514.67