Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $537.03	Professional		$190.55	$275.42	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $575.44	Professional		$537.03	$537.03	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $588.84	Professional		$457.09	$549.54	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,000.00	Professional		$741.31	$741.31	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $575.44	Professional		$194.98	$281.84	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,071.52	Professional		$309.03	$478.63	$1,071.52