Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $782.54 / $1,068.13	Professional		$148.80	$782.54	$1,068.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.63 / $544.90 / $974.63	Professional		$399.63	$544.90	$974.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.58 / $656.97 / $1,320.15	Professional		$390.58	$656.97	$1,320.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.75 / $919.35 / $1,246.00	Professional		$603.75	$919.35	$1,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.94 / $891.70 / $1,277.30	Professional		$327.94	$891.70	$1,277.30
United Facility/Professional Professional Modifier Low / Median / High Price $568.04 / $994.07 / $1,249.69	Professional		$568.04	$994.07	$1,249.69