Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $224.35 / $495.51	Professional		$78.95	$224.35	$495.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $314.64 / $605.47	Professional		$314.64	$314.64	$605.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.79 / $587.10 / $763.23	Professional		$362.79	$587.10	$763.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $227.50 / $1,052.70	Professional		$100.63	$227.50	$1,052.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $262.50 / $862.80	Professional		$100.63	$262.50	$862.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $99.52 / $617.76	Professional		$43.29	$99.52	$617.76