Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $239.47 / $377.24	Professional		$45.32	$239.47	$377.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.39 / $187.84 / $356.17	Professional		$120.39	$187.84	$356.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $243.08 / $507.00	Professional		$126.95	$243.08	$507.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $306.60 / $454.20	Professional		$196.25	$306.60	$454.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $284.70 / $440.00	Professional		$109.50	$284.70	$440.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $333.39 / $427.94	Professional		$194.52	$333.39	$427.94