Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $271.24 / $482.73	Professional		$128.25	$271.24	$482.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.35 / $412.63 / $763.66	Professional		$208.35	$412.63	$763.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.80 / $278.00 / $565.00	Professional		$224.80	$278.00	$565.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.12 / $485.80 / $940.95	Professional		$276.12	$485.80	$940.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.55 / $511.50 / $1,033.50	Professional		$223.55	$511.50	$1,033.50
United Facility/Professional Professional Modifier Low / Median / High Price $261.82 / $610.94 / $921.67	Professional		$261.82	$610.94	$921.67