Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $407.38	Professional		$257.04	$302.00	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,023.29	Professional		$645.65	$741.31	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $794.33 / $1,479.11	Professional		$288.40	$794.33	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,148.15 / $1,445.44	Professional		$562.34	$1,148.15	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $954.99	Professional		$79.43	$707.95	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $1,737.80	Professional		$446.68	$831.76	$1,737.80