Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $273.51 / $1,630.25	Professional		$159.00	$273.51	$1,630.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $484.75 / $939.48	Professional		$315.27	$484.75	$939.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $460.13 / $552.15 / $842.31	Professional		$460.13	$552.15	$842.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.61 / $799.50 / $1,222.50	Professional		$451.61	$799.50	$1,222.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.10 / $701.25 / $1,266.00	Professional		$344.10	$701.25	$1,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.72 / $751.58 / $1,133.83	Professional		$320.72	$751.58	$1,133.83