Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $223.14 / $1,118.28	Professional		$107.77	$223.14	$1,118.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $254.41 / $676.70	Professional		$137.04	$254.41	$676.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $631.74 / $1,367.10	Professional		$295.08	$631.74	$1,367.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $690.00 / $1,230.96	Professional		$390.00	$690.00	$1,230.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.04 / $567.00 / $1,157.20	Professional		$222.04	$567.00	$1,157.20
United Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $509.58 / $1,405.59	Professional		$260.01	$509.58	$1,405.59