Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.53 / $247.15 / $809.20	Professional		$209.53	$247.15	$809.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Professional		$199.09	$199.09	$199.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $649.20 / $1,170.75	Professional		$351.98	$649.20	$1,170.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.25 / $930.15 / $2,260.05	Professional		$836.25	$930.15	$2,260.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.97 / $1,092.00 / $2,260.05	Professional		$525.97	$1,092.00	$2,260.05
United Facility/Professional Professional Modifier Low / Median / High Price $250.97 / $880.71 / $3,359.73	Professional		$250.97	$880.71	$3,359.73