Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $501.35 / $850.32	Professional		$130.80	$501.35	$850.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.06 / $478.77 / $781.05	Professional		$357.06	$478.77	$781.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $547.29 / $1,099.80	Professional		$380.08	$547.29	$1,099.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.00 / $815.10 / $1,024.15	Professional		$561.00	$815.10	$1,024.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $765.00 / $1,032.00	Professional		$309.38	$765.00	$1,032.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.60 / $903.20 / $993.52	Professional		$451.60	$903.20	$993.52