Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.05 / $690.32 / $790.31	Professional		$645.05	$690.32	$790.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.73 / $422.73 / $422.73	Professional		$422.73	$422.73	$422.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $764.40 / $1,012.31	Professional		$294.35	$764.40	$1,012.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $527.79 / $767.80	Professional		$455.00	$527.79	$767.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $526.50 / $780.50	Professional		$166.25	$526.50	$780.50
United Facility/Professional Professional Modifier Low / Median / High Price $310.16 / $510.18 / $1,100.39	Professional		$310.16	$510.18	$1,100.39