Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $346.74	Professional		$77.62	$117.49	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $501.19	Professional		$199.53	$269.15	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $645.65	Professional		$204.17	$346.74	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $676.08	Professional		$295.12	$478.63	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $158.49 / $269.15	Professional		$60.26	$158.49	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $426.58 / $588.84	Professional		$112.20	$426.58	$588.84