Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $374.63 / $560.15	Professional		$151.66	$374.63	$560.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $109.51	Professional		$109.51	$109.51	$109.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $357.12 / $644.00	Professional		$192.38	$357.12	$644.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $513.00 / $1,235.25	Professional		$460.00	$513.00	$1,235.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $597.00 / $1,235.25	Professional		$288.05	$597.00	$1,235.25
United Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $334.26 / $1,835.91	Professional		$164.49	$334.26	$1,835.91