Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $79.87 / $363.39	Professional		$45.28	$79.87	$363.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $177.68 / $336.46	Professional		$118.39	$177.68	$336.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $237.75 / $477.75	Professional		$122.10	$237.75	$477.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $294.00 / $442.08	Professional		$188.75	$294.00	$442.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $273.00 / $442.00	Professional		$113.06	$273.00	$442.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $289.20 / $421.74	Professional		$191.70	$289.20	$421.74