Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $494.19 / $494.19	Professional		$218.33	$494.19	$494.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Professional		$233.36	$233.36	$233.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $147.52 / $147.52	Professional		$147.52	$147.52	$147.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $132.77 / $331.92	Professional		$132.77	$132.77	$331.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Professional		$233.36	$233.36	$233.36
United Facility/Professional Professional Modifier Low / Median / High Price $442.56 / $442.56 / $442.56	Professional		$442.56	$442.56	$442.56