Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.66 / $625.66 / $1,095.80	Professional		$625.66	$625.66	$1,095.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.80 / $546.80 / $616.70	Professional		$546.80	$546.80	$616.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $494.91 / $892.50	Professional		$258.39	$494.91	$892.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $707.20 / $933.30	Professional		$637.50	$707.20	$933.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.18 / $783.75 / $1,254.47	Professional		$386.18	$783.75	$1,254.47
United Facility/Professional Professional Modifier Low / Median / High Price $332.15 / $499.74 / $740.04	Professional		$332.15	$499.74	$740.04