Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $171.47 / $253.27	Professional		$31.79	$171.47	$253.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $123.58 / $231.54	Professional		$85.04	$123.58	$231.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $164.01 / $329.55	Professional		$84.90	$164.01	$329.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $196.00 / $293.33	Professional		$127.40	$196.00	$293.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $190.00 / $292.50	Professional		$73.50	$190.00	$292.50
United Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $225.59 / $289.56	Professional		$131.62	$225.59	$289.56