Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $151.36 / $316.23	Professional		$38.02	$151.36	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $151.36 / $467.74	Professional		$45.71	$151.36	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $275.42 / $851.14	Professional		$100.00	$275.42	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $302.00 / $891.25	Professional		$123.03	$302.00	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $147.91 / $467.74	Professional		$48.98	$147.91	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $151.36 / $549.54	Professional		$41.69	$151.36	$549.54