Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $85.07 / $369.22	Professional		$14.73	$85.07	$369.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $68.18 / $356.70	Professional		$42.62	$68.18	$356.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $164.18 / $421.20	Professional		$45.19	$164.18	$421.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $153.00 / $450.00	Professional		$61.10	$153.00	$450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $109.30 / $438.75	Professional		$57.50	$109.30	$438.75
United Facility/Professional Professional Modifier Low / Median / High Price $200.58 / $351.02 / $441.28	Professional		$200.58	$351.02	$441.28