Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $625.00 / $731.20	Professional		$117.21	$625.00	$731.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.30 / $434.48 / $644.38	Professional		$316.30	$434.48	$644.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $447.36 / $898.95	Professional		$310.52	$447.36	$898.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $668.45 / $890.00	Professional		$480.00	$668.45	$890.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.72 / $658.00 / $890.00	Professional		$257.72	$658.00	$890.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.26 / $806.52 / $887.17	Professional		$403.26	$806.52	$887.17