Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $132.30 / $396.08	Professional		$106.17	$132.30	$396.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $293.35 / $349.52	Professional		$293.35	$293.35	$349.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $436.68 / $787.50	Professional		$167.20	$436.68	$787.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $585.90 / $1,073.59	Professional		$440.00	$585.90	$1,073.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.28 / $526.50 / $968.00	Professional		$244.28	$526.50	$968.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $419.43 / $1,600.04	Professional		$183.06	$419.43	$1,600.04