Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $234.42	Professional		$47.86	$100.00	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $275.42	Professional		$165.96	$165.96	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $602.56	Professional		$104.71	$263.03	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $489.78	Professional		$194.98	$309.03	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $275.42	Professional		$45.71	$66.07	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $380.19	Professional		$125.89	$213.80	$380.19