Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $216.31 / $471.38	Professional		$72.52	$216.31	$471.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.89 / $299.89 / $575.98	Professional		$299.89	$299.89	$575.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.79 / $566.08 / $735.90	Professional		$349.79	$566.08	$735.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $219.70 / $1,015.00	Professional		$97.18	$219.70	$1,015.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $253.50 / $820.80	Professional		$97.18	$253.50	$820.80
United Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $99.52 / $472.25	Professional		$59.96	$99.52	$472.25