Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.69 / $372.69 / $770.21	Professional		$372.69	$372.69	$770.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $108.92 / $108.92	Professional		$108.92	$108.92	$108.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $355.17 / $640.50	Professional		$191.90	$355.17	$640.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.50 / $508.95 / $1,232.20	Professional		$457.50	$508.95	$1,232.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $597.00 / $1,232.20	Professional		$288.05	$597.00	$1,232.20
United Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $335.06 / $1,835.91	Professional		$165.55	$335.06	$1,835.91