Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $248.43 / $555.39	Professional		$82.29	$248.43	$555.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.38 / $346.38 / $662.83	Professional		$346.38	$346.38	$662.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.31 / $649.35 / $844.16	Professional		$410.31	$649.35	$844.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $402.00 / $1,164.34	Professional		$192.63	$402.00	$1,164.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $418.75 / $946.80	Professional		$192.63	$418.75	$946.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $194.72 / $558.19	Professional		$117.26	$194.72	$558.19