Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $331.13	Professional		$104.71	$131.83	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $380.19	Professional		$102.33	$154.88	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $588.84	Professional		$204.17	$323.59	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $630.96	Professional		$229.09	$426.58	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $158.49 / $380.19	Professional		$60.26	$158.49	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $302.00 / $457.09	Professional		$102.33	$302.00	$457.09