Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $288.40	Professional		$123.03	$151.36	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $389.05	Professional		$114.82	$186.21	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $741.31	Professional		$331.13	$416.87	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $758.58	Professional		$346.74	$501.19	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $389.05	Professional		$114.82	$194.98	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $338.84 / $501.19	Professional		$125.89	$338.84	$501.19