Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $263.03	Professional		$158.49	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $457.09	Professional		$398.11	$398.11	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $467.74	Professional		$263.03	$436.52	$467.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $758.58	Professional		$562.34	$575.44	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $457.09	Professional		$60.26	$154.88	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $549.54	Professional		$218.78	$371.54	$549.54