Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $68.13 / $350.05	Professional		$43.24	$68.13	$350.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $161.80 / $224.34	Professional		$161.80	$161.80	$224.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $304.50 / $504.13	Professional		$117.25	$304.50	$504.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $290.00 / $386.72	Professional		$195.75	$290.00	$386.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $248.40 / $386.10	Professional		$96.73	$248.40	$386.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $269.22 / $356.50	Professional		$155.00	$269.22	$356.50