Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.86 / $477.03 / $812.00	Professional		$235.86	$477.03	$812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $199.98 / $199.98	Professional		$199.98	$199.98	$199.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $652.11 / $1,176.00	Professional		$352.45	$652.11	$1,176.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $934.20 / $2,263.10	Professional		$840.00	$934.20	$2,263.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.67 / $1,093.50 / $2,263.10	Professional		$526.67	$1,093.50	$2,263.10
United Facility/Professional Professional Modifier Low / Median / High Price $273.79 / $881.91 / $3,364.31	Professional		$273.79	$881.91	$3,364.31