Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $130.25 / $358.01	Professional		$46.94	$130.25	$358.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $284.42 / $636.61	Professional		$127.31	$284.42	$636.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $315.08 / $383.31 / $861.63	Professional		$315.08	$383.31	$861.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.14 / $577.79 / $858.10	Professional		$490.14	$577.79	$858.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $478.00 / $829.56	Professional		$186.80	$478.00	$829.56
United Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $381.24 / $396.64	Professional		$160.96	$381.24	$396.64