Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $164.78 / $900.30	Professional		$118.81	$164.78	$900.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.96 / $463.96 / $558.78	Professional		$463.96	$463.96	$558.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.85 / $934.50 / $1,293.93	Professional		$359.85	$934.50	$1,293.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.25 / $781.14 / $962.00	Professional		$556.25	$781.14	$962.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $730.95 / $962.00	Professional		$287.00	$730.95	$962.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.34 / $670.53 / $870.18	Professional		$378.34	$670.53	$870.18