Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $227.72 / $376.19	Professional		$208.61	$227.72	$376.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $138.47 / $138.47	Professional		$138.47	$138.47	$138.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $245.70 / $325.52	Professional		$94.63	$245.70	$325.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $169.65 / $258.68	Professional		$146.25	$169.65	$258.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $172.50 / $265.06	Professional		$38.57	$172.50	$265.06
United Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $166.17 / $255.99	Professional		$110.78	$166.17	$255.99