Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $122.54 / $611.32	Professional		$104.04	$122.54	$611.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $172.60 / $376.78	Professional		$101.43	$172.60	$376.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $334.33 / $722.25	Professional		$259.58	$334.33	$722.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.36 / $422.55 / $632.00	Professional		$242.36	$422.55	$632.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $334.96 / $632.00	Professional		$124.86	$334.96	$632.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $301.42 / $663.12	Professional		$116.83	$301.42	$663.12