Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $184.00 / $407.03	Professional		$130.41	$184.00	$407.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $239.79 / $833.02	Professional		$120.40	$239.79	$833.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.52 / $358.08 / $645.75	Professional		$283.52	$358.08	$645.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.71 / $523.79 / $756.50	Professional		$346.71	$523.79	$756.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $468.00 / $783.90	Professional		$167.24	$468.00	$783.90
United Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $323.50 / $492.25	Professional		$182.24	$323.50	$492.25