Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $117.83 / $553.09	Professional		$89.92	$117.83	$553.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $324.23 / $506.64	Professional		$240.12	$324.23	$506.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $359.04 / $721.50	Professional		$262.83	$359.04	$721.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $536.50 / $666.80	Professional		$386.10	$536.50	$666.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $509.25 / $670.00	Professional		$209.00	$509.25	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $513.24 / $645.22	Professional		$293.27	$513.24	$645.22