Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $126.40 / $310.08	Professional		$115.09	$126.40	$310.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $201.49 / $724.15	Professional		$109.43	$201.49	$724.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.94 / $325.08 / $583.29	Professional		$255.94	$325.08	$583.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $476.55 / $659.10	Professional		$278.88	$476.55	$659.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $405.60 / $676.00	Professional		$145.69	$405.60	$676.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $281.22 / $421.83	Professional		$238.56	$281.22	$421.83