Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $537.03	Professional		$125.89	$245.47	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $776.25	Professional		$151.36	$263.03	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $1,412.54	Professional		$309.03	$691.83	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $741.31 / $1,258.93	Professional		$398.11	$741.31	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $776.25	Professional		$125.89	$309.03	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $1,071.52	Professional		$134.90	$346.74	$1,071.52