Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $127.59 / $248.30	Professional		$97.08	$127.59	$248.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.58 / $289.58 / $386.67	Professional		$289.58	$289.58	$386.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.35 / $307.62 / $481.64	Professional		$256.35	$307.62	$481.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $440.10 / $580.11	Professional		$164.00	$440.10	$580.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $273.02 / $474.00	Professional		$131.08	$273.02	$474.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $309.33 / $667.82	Professional		$280.08	$309.33	$667.82