Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $52.06 / $256.66	Professional		$39.15	$52.06	$256.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $150.66 / $190.00	Professional		$150.66	$150.66	$190.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $268.80 / $370.04	Professional		$103.50	$268.80	$370.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.45 / $228.48 / $332.00	Professional		$171.45	$228.48	$332.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $207.50 / $332.00	Professional		$82.07	$207.50	$332.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $230.91 / $354.02	Professional		$141.76	$230.91	$354.02