Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $515.97 / $675.27	Professional		$97.86	$515.97	$675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $350.86 / $614.79	Professional		$261.45	$350.86	$614.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $425.04 / $854.10	Professional		$259.58	$425.04	$854.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.25 / $587.42 / $804.00	Professional		$401.25	$587.42	$804.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.94 / $564.25 / $808.00	Professional		$217.94	$564.25	$808.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.16 / $626.78 / $787.95	Professional		$358.16	$626.78	$787.95