Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $512.86	Professional		$138.04	$257.04	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $776.25	Professional		$169.82	$275.42	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $1,288.25	Professional		$309.03	$630.96	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $794.33 / $1,318.26	Professional		$436.52	$794.33	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $776.25	Professional		$138.04	$323.59	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $371.54 / $1,148.15	Professional		$147.91	$371.54	$1,148.15