Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $243.39 / $258.91	Professional		$46.73	$243.39	$258.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $90.01 / $174.13	Professional		$83.78	$90.01	$174.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $137.83 / $154.29	Professional		$115.72	$137.83	$154.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $198.45 / $223.50	Professional		$114.22	$198.45	$223.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $161.69 / $319.89	Professional		$79.36	$161.69	$319.89
United Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $139.30 / $210.15	Professional		$57.00	$139.30	$210.15