Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $645.65	Professional		$102.33	$162.18	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Professional		$398.11	$398.11	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $977.24	Professional		$263.03	$446.68	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $794.33	Professional		$467.74	$588.84	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $467.74	Professional		$60.26	$134.90	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $1,023.29	Professional		$295.12	$380.19	$1,023.29