Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.44 / $612.15 / $698.32	Professional		$270.44	$612.15	$698.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $149.78 / $231.25	Professional		$149.78	$149.78	$231.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.84 / $431.96 / $822.50	Professional		$377.84	$431.96	$822.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.28 / $587.50 / $860.10	Professional		$177.28	$587.50	$860.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $578.75 / $974.95	Professional		$149.78	$578.75	$974.95
United Facility/Professional Professional Modifier Low / Median / High Price $712.32 / $712.32 / $712.32	Professional		$712.32	$712.32	$712.32