Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $460.29 / $595.91	Professional		$101.56	$460.29	$595.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $220.25 / $400.02	Professional		$167.91	$220.25	$400.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $273.66 / $360.03	Professional		$228.05	$273.66	$360.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.40 / $408.90 / $537.95	Professional		$226.40	$408.90	$537.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $346.25 / $668.78	Professional		$167.91	$346.25	$668.78
United Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $320.02 / $482.78	Professional		$133.76	$320.02	$482.78