Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $193.37 / $898.72	Professional		$91.25	$193.37	$898.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $202.18 / $546.77	Professional		$111.07	$202.18	$546.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $505.59 / $1,094.09	Professional		$241.06	$505.59	$1,094.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $534.00 / $910.80	Professional		$308.25	$534.00	$910.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $435.60 / $828.00	Professional		$182.48	$435.60	$828.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $408.99 / $1,118.89	Professional		$206.88	$408.99	$1,118.89