Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $67.37 / $301.68	Professional		$40.68	$67.37	$301.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $153.80 / $270.27	Professional		$114.22	$153.80	$270.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $191.16 / $384.15	Professional		$109.98	$191.16	$384.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $259.20 / $384.00	Professional		$170.00	$259.20	$384.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $255.45 / $386.00	Professional		$93.29	$255.45	$386.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $287.35 / $361.24	Professional		$164.20	$287.35	$361.24