Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $150.75 / $335.59	Professional		$121.28	$150.75	$335.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.30 / $248.82 / $865.45	Professional		$115.30	$248.82	$865.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $342.54 / $614.12	Professional		$269.45	$342.54	$614.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.62 / $502.20 / $779.64	Professional		$343.62	$502.20	$779.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $464.28 / $813.15	Professional		$153.60	$464.28	$813.15
United Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $336.10 / $504.15	Professional		$133.19	$336.10	$504.15