Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $394.48 / $545.16	Professional		$73.48	$394.48	$545.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $269.06 / $498.05	Professional		$198.53	$269.06	$498.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.48 / $374.58 / $752.70	Professional		$213.48	$374.58	$752.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $482.50 / $678.00	Professional		$313.30	$482.50	$678.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $452.20 / $661.05	Professional		$179.15	$452.20	$661.05
United Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $503.79 / $633.34	Professional		$287.88	$503.79	$633.34