Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $270.02 / $1,351.48	Professional		$145.49	$270.02	$1,351.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $318.27 / $810.28	Professional		$169.24	$318.27	$810.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $386.20 / $771.45 / $1,669.50	Professional		$386.20	$771.45	$1,669.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.40 / $842.00 / $1,414.77	Professional		$482.40	$842.00	$1,414.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.82 / $669.05 / $1,314.00	Professional		$273.82	$669.05	$1,314.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $623.14 / $1,718.83	Professional		$317.20	$623.14	$1,718.83