Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.28 / $471.45 / $471.45	Professional		$208.28	$471.45	$471.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $222.72 / $222.72	Professional		$222.72	$222.72	$222.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $140.72 / $140.72	Professional		$140.72	$140.72	$140.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $126.66 / $316.64	Professional		$126.66	$126.66	$316.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $222.72 / $222.72	Professional		$222.72	$222.72	$222.72
United Facility/Professional Professional Modifier Low / Median / High Price $422.19 / $422.19 / $422.19	Professional		$422.19	$422.19	$422.19