Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $301.86 / $369.15	Professional		$149.06	$301.86	$369.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $224.29 / $511.36	Professional		$98.70	$224.29	$511.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $374.01 / $961.84	Professional		$181.57	$374.01	$961.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $406.81 / $761.53	Professional		$243.75	$406.81	$761.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $299.23 / $648.00	Professional		$154.60	$299.23	$648.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $372.58 / $804.35	Professional		$192.07	$372.58	$804.35