Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $221.25 / $383.48	Professional		$174.81	$221.25	$383.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $184.50 / $185.36	Professional		$184.50	$184.50	$185.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.98 / $601.65 / $670.68	Professional		$294.98	$601.65	$670.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $465.75 / $945.00	Professional		$284.25	$465.75	$945.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $434.70 / $1,021.35	Professional		$206.48	$434.70	$1,021.35
United Facility/Professional Professional Modifier Low / Median / High Price $531.84 / $611.40 / $769.47	Professional		$531.84	$611.40	$769.47