Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $97.39 / $324.91	Professional		$38.64	$97.39	$324.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $158.07 / $321.48	Professional		$78.56	$158.07	$321.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $165.93 / $191.16	Professional		$138.28	$165.93	$191.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $239.06 / $360.51	Professional		$136.85	$239.06	$360.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $196.50 / $439.50	Professional		$89.47	$196.50	$439.50
United Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $257.18 / $387.98	Professional		$111.34	$257.18	$387.98