Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.39 / $264.70 / $1,135.70	Professional		$180.39	$264.70	$1,135.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.95 / $611.95 / $743.50	Professional		$611.95	$611.95	$743.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $594.69 / $734.58 / $1,438.30	Professional		$594.69	$734.58	$1,438.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.65 / $946.25 / $1,385.31	Professional		$375.65	$946.25	$1,385.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.08 / $662.05 / $1,344.75	Professional		$312.08	$662.05	$1,344.75
United Facility/Professional Professional Modifier Low / Median / High Price $516.88 / $594.79 / $892.20	Professional		$516.88	$594.79	$892.20