Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $467.74	Professional		$109.65	$162.18	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $457.09	Professional		$316.23	$316.23	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $954.99	Professional		$239.88	$467.74	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $831.76	Professional		$416.87	$575.44	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $457.09	Professional		$60.26	$134.90	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $630.96	Professional		$204.17	$363.08	$630.96