Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $218.78	Professional		$104.71	$141.25	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $416.87	Professional		$263.03	$323.59	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $338.84 / $562.34	Professional		$138.04	$338.84	$562.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $616.60	Professional		$251.19	$489.78	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $416.87	Professional		$141.25	$302.00	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $331.13 / $724.44	Professional		$75.86	$331.13	$724.44