Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $478.63	Professional		$125.89	$257.04	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $758.58	Professional		$275.42	$416.87	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $524.81	Professional		$186.21	$288.40	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $933.25	Professional		$281.84	$512.86	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $275.42 / $707.95	Professional		$60.26	$275.42	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $616.60	Professional		$162.18	$331.13	$616.60