Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $223.87	Professional		$46.77	$77.62	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $338.84	Professional		$117.49	$177.83	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $398.11	Professional		$114.82	$213.80	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $446.68	Professional		$169.82	$281.84	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $177.83	Professional		$60.26	$100.00	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $223.87 / $389.05	Professional		$72.44	$223.87	$389.05