Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $691.83	Professional		$112.20	$141.25	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $870.96	Professional		$309.03	$398.11	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $426.58	Professional		$117.49	$165.96	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $851.14	Professional		$309.03	$338.84	$851.14